Misty Lee Shortt, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Erin, TN
NPI 1659835767 · NPPES record last updated Jan 23, 2019
Key facts
- NPI
- 1659835767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 6981 Highway 13
Erin, TN 37061-4465 - Phone
- (931) 906-0440
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
6981 Highway 13
Erin, TN 37061-4465
Mailing address
6981 Highway 13
Erin, TN 37061-4465
Other providers in Erin, TN
- Shannon Rouse
- Safe Harbor of Erin
- Shamrock Community Hospital Inc
- Shamrock Community Hospital Inc
- Shamrock Community Hospital Inc.
- State of Tennessee
- Patricia Ellen Stone
- Tommy Lee Strickland
- Traylor Family Health,LLC
- Jamie V Traylor
All providers in Erin, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2019. 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.