Ali Lannom
Individual provider Active NPI Occupational Therapist · Gordonsville, TN
NPI 1629675202 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1629675202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6679 (TN)
- Practice address
- 417 Gordonsville Hwy
Suite 100
Gordonsville, TN 38563 - Phone
- (615) 683-4195
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6679 | TN | Yes |
Addresses
Primary practice location
417 Gordonsville Hwy
Suite 100
Gordonsville, TN 38563
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
Other providers in Gordonsville, TN
- Keith Regen Hill
- Hometown Healthcare Associates, PLLC
- Hometown Medical LLC
- John Walter Knight III
- Heather D Lambert
- Julian Lerone Magee
- Angela Sue Moss
- David Trenton Payne
- Primary Care Associates of Smith County, Inc.
- Riverview Physician Practices, LLC
All providers in Gordonsville, 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 Oct 6, 2020. 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.