Lynnze Taylor Ethridge, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6299 Issued in TN

Practice address

65 Mouse Creek Rd NW
Cleveland, TN 37312-4840

Phone

(423) 476-7212

Fax

(423) 476-1673

NPI assigned

Jul 19, 2019

Last updated

Jul 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Can DO Kids Pediatric Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Cleveland, TN
  • NPI 1033593785
  NPD

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1578116414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124840",
            "telephone_number": "423-476-7212",
            "fax_number": "423-476-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124840",
            "telephone_number": "423-476-7212",
            "fax_number": "423-476-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "LYNNZE",
        "middle_name": "TAYLOR",
        "name_prefix": "Miss",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN. LICENSE NUMBER",
            "identifier": "6299",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erlanger Health (Erlanger Health Specialty Pharmacy)
• Susan Ermer, M.D.
• Morgan Erwin
• Chad Steven Eslinger, DDS
• Cody Esparza, DPT
• Amber Kay Evans, NP-C
• Everside Health Milliken PTM
• Everwell Physical Therapy & Wellness
• Ez Home Access, LLC
• Bruce William Faerber, MD

• Occupational Therapist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.