Sharon Diane Lyttle, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

1744000000X Issued in TN

Practice address

3580 N Mount Juliet Rd
Mount Juliet, TN 37122-3061

Phone

(615) 758-4888

Fax

(615) 758-6188

NPI assigned

Mar 26, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lyttle Fox Therapy

  • Developmental Disabilities Clinic/Center
  • Mount Juliet, TN
  • NPI 1063613867
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598883134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BETH DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222042",
            "telephone_number": "615-758-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223061",
            "telephone_number": "615-758-4888",
            "fax_number": "615-758-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTTLE",
        "first_name": "SHARON",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "1744000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126907",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "4102606",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayna Lucci, PHARMD
• Jamie Allen Lucy, OTR/L
• Luxottica of America Inc.
• Dusty Lynn, SA-C
• Lyttle Fox Therapy
• Chelsea Madison, CSOM, COMT,CBS
• Byron Justin Magedanz, PHARM.D.
• Amanda Paige Maggart, BSDH, RDH
• Holli Marie Mahoney
• Marian Malek

• Specialist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.