Active NPI
Tara Rogers, OTD, OTR/L
- Occupational Therapist
- Knoxville, TN
National Provider Identifier
1669855417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5222
- Practice address
- 10133 Sherrill Blvd
Knoxville, TN 37932-3347 - Phone
- (888) 531-2204
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5222 | TN | Primary |
Addresses
Primary practice location
10133 Sherrill Blvd
Knoxville, TN 37932-3347
Mailing address
5007 Bonnavista Dr
Hermitage, TN 37076-1832
Other practice location 1
3131 Tom Austin Hwy
Springfield, TN 37172-4801
Phone (615) 382-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5222 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1669855417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 BONNAVISTA DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10133 SHERRILL BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323347",
"telephone_number": "888-531-2204"
}
],
"practiceLocations": [
{
"address_1": "3131 Tom Austin Hwy",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "TN",
"postal_code": "371724801",
"country_code": "US",
"telephone_number": "615-382-7979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "TARA",
"name_prefix": "Mrs.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.