Individual provider Active NPI

Claire Celeste Plunkett

  • Occupational Therapist
  • Maryville, TN
National Provider Identifier
1548946106
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1009 Hampshire Dr
Maryville, TN 37801-3525
Phone
(865) 518-6791
Fax
(865) 518-6794
NPI assigned
Jun 27, 2023
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 Primary

Addresses

Primary practice location

1009 Hampshire Dr
Maryville, TN 37801-3525

Mailing address

325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone (423) 375-8907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002888 TN Practitioner - Occupational Therapist in Private Practice 7012356454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C BlackGroup PAC ID 5890117469, 24 clinicians

Practice addresses (Care Compare)

263 E Broadway Blvd
Jefferson City, TN 37760-2810
Phone (865) 375-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C Black Occupational Therapist CurrentSince Apr 15, 2024 Accepting new patients
Tristar Physical Therapy LLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

2250 Broadway Dr
Ste A1
Bean Station, TN 37708
Phone (865) 935-8111

263 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 375-0880

1009 Hampshire Dr
Maryville, TN 37801
Phone (865) 518-6791

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1548946106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HAMPSHIRE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013525",
            "telephone_number": "865-518-6791",
            "fax_number": "865-518-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNKETT",
        "first_name": "CLAIRE",
        "middle_name": "CELESTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.