Tatiana Renee Pendleton, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6196 Issued in AL

Practice address

2151 Old Rocky Ridge Road
Suite 100
Birmingham, AL 35216

Phone

(205) 583-2883

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15135/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child'S Play Therapy LLC

  • Rehabilitation Hospital Unit
  • Hoover, AL
  • NPI 1396344347
  NPD (past)
• Leaps Academy Inc

  • Pediatric Occupational Therapist
  • Pell City, AL
  • NPI 1336635622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497530596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 AUTUMN WOOD DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165268",
            "telephone_number": "256-525-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE ROAD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-583-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "TATIANA",
        "middle_name": "RENEE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pelham, CNM
• John Pellerin
• Sarah Pemberton, RBT
• Fabio Pencle, MD
• Anquenetta Michelle Pendleton Khan
• Piotr Penherski
• John Penick
• Laura Kettle Penkava, CRNP
• Alisha Leandra Penn, MS, LPC
• Kiara Penn, MSOT, OTR/L

• Occupational Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.