Thomas David Ott

Individual provider Active NPI Home Modifications Contractor · Norris, TN

NPI 1487514675 · NPPES record last updated Nov 12, 2025

Key facts

NPI
1487514675
Entity type
Individual (NPI type 1)
Primary specialty
Home Modifications Contractor 171WH0202X
License
11663 (TN)
Practice address
PO Box 1256
Norris, TN 37828-1256
Phone
(865) 466-2074
NPI assigned
Nov 12, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 11663 TN Yes

Addresses

Primary practice location

PO Box 1256
Norris, TN 37828-1256

Mailing address

PO Box 1256
Norris, TN 37828-1256
Phone (865) 466-2074

Other providers in Norris, TN

All providers in Norris, TN · Home Modifications Contractor in Tennessee

Sources for this page

Verify at the official NPI Registry.