Marilyn Burgess, COTA/L
Individual provider Active NPI Occupational Therapist · Dickson, TN
NPI 1508201716 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1508201716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTA0000001179 (TN)
- Practice address
- 115 Academy St
Dickson, TN 37055-2013 - Phone
- (615) 446-2085
- Fax
- (615) 441-4132
- NPI assigned
- May 1, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA0000001179 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson County Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTA0000001179 | TN | Yes |
Addresses
Primary practice location
115 Academy St
Dickson, TN 37055-2013
Mailing address
111 Robert Porter Rd
Dickson, TN 37055-3318
Phone (615) 740-1080
Other providers in Dickson, TN
- Bethany Brunett
- Adea Leigh Bryant
- Eden Buchanan
- Mark Buck
- Brianna Bullock
- Frederick Jerome Burr
- Erin Kathleen Butler
- Cheryl Elaine Buttrey
- Tamara K. Buttrey
- Khrystian Bynum
All providers in Dickson, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.