Individual provider Active NPI

Whitney Lucas, OTR/L

  • Occupational Therapist
  • Sevierville, TN
National Provider Identifier
1609438613
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6312 Issued in TN
Practice address
1103 Village Dr
Sevierville, TN 37862-5029
Phone
(865) 908-7041
Fax
(865) 908-7043
NPI assigned
Jul 1, 2019
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 6312 TN Primary

Addresses

Primary practice location

1103 Village Dr
Sevierville, TN 37862-5029

Mailing address

1103 Village Dr
Sevierville, TN 37862-5029
Phone (865) 908-7041

Other practice location 1

11560 Chapman Hwy Ste 1
Seymour, TN 37865-5044
Phone (865) 579-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814000491 TN Practitioner - Occupational Therapist in Private Practice 1557698529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1103 Village Dr
Sevierville, TN 37862-5029
Phone (865) 908-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6312TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Therapy Services of East Tennessee Occupational Therapist CurrentSince Jul 1, 2019 Accepting new patients
Pro Therapy Services of East Tennessee, Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

1235 E Parkway
Ste 5
Gatlinburg, TN 37738
Phone (865) 436-6767

1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-3261

11560 Chapman Hwy
Ste 1
Seymour, TN 37865
Phone (865) 577-1914

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1609438613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625029",
            "telephone_number": "865-908-7041",
            "fax_number": "865-908-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625029",
            "telephone_number": "865-908-7041",
            "fax_number": "865-908-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11560 Chapman Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "TN",
            "postal_code": "378655044",
            "country_code": "US",
            "telephone_number": "865-579-3322",
            "fax_number": "865-579-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "WHITNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.