Individual provider Active NPI

Carolyn E Pendergast, OT

  • Occupational Therapist
  • Powell, TN
National Provider Identifier
1497909428
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2468 Issued in TN
Practice address
7750 Dannaher Dr
Powell, TN 37849-4039
Phone
(865) 512-1140
Fax
(865) 512-1141
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2468 TN Primary

Addresses

Primary practice location

7750 Dannaher Dr
Powell, TN 37849-4039

Mailing address

8320 E Walker Springs LN Ste 200
Knoxville, TN 37923-3120
Phone (865) 769-4500

Other identifiers 3

IdentifierTypeStateIssuer
1510678MedicaidTN
P00746470OtherRAILROAD MEDICARE
4211295OtherTNBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000590 TN Practitioner - Occupational Therapist in Private Practice 7315000403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotennessee PCGroup PAC ID 3476453572, 152 clinicians

Practice addresses (Care Compare)

11440 Parkside Dr
Suite 303
Knoxville, TN 37934-2662
Phone (865) 218-9300

1422 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (865) 558-4400

7750 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 512-1140

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
81.99
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2468TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotennessee, PC CurrentSince Dec 8, 2008 Accepting new patients
Orthotennessee, PC Current Accepting new patients
Orthotennessee, PC CurrentSince Dec 8, 2008 Accepting new patients
Hovis Orthopaedic Clinic PC Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Orthotennessee Past Accepting new patients

Locations

260 Fort Sanders West Blvd
Ste 110
Knoxville, TN 37922
Phone (865) 558-4491

1422 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 558-4480

8320 E Walker Springs Ln
Ste 200
Knoxville, TN 37923

11440 Parkside Dr
Ste 303
Knoxville, TN 37934
Phone (865) 218-9330

1600 Accelerator Way
Ste 220
Knoxville, TN 37920
Phone (865) 546-1940

256 Fort Sanders West Blvd
#200
Knoxville, TN 37922
Phone (865) 934-3329

1551 Lake Loudon Blvd
Ste 100
Knoxville, TN 37916

1422 Old Weisgarber Rd
Ste 100
Knoxville, TN 37909

827 E Lamar Alexander Pkwy
Ste 100
Maryville, TN 37804

90 Vermont Ave
Ste 301
Oak Ridge, TN 37830
Phone (865) 481-2541

7750 Dannaher Dr
Powell, TN 37849
Phone (865) 512-1140

7750 Dannaher Dr
Ste 100
Powell, TN 37849

7750 Dannaher Dr
Ste B
Powell, TN 37849

Interoperability endpoints

  • Direct secure messaging: carolyn.pendergast.p1@direct.orthotn.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1497909428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 E WALKER SPRINGS LN STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233120",
            "telephone_number": "865-769-4500",
            "fax_number": "865-769-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494039",
            "telephone_number": "865-512-1140",
            "fax_number": "865-512-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGAST",
        "first_name": "CAROLYN",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510678",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00746470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4211295",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.