Beth Ann Ballinger, OTR
Individual provider Active NPI Occupational Therapist · Dandridge, TN
NPI 1699818005 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1699818005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1216 (TN)
- Practice address
- 572 Sam Martin Rd
Dandridge, TN 37725-4120 - Phone
- (865) 382-4209
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080710000725 | TN | Practitioner - Occupational Therapist in Private Practice | 1052483823 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1216 | TN | Yes |
Addresses
Primary practice location
572 Sam Martin Rd
Dandridge, TN 37725-4120
Mailing address
572 Sam Martin Rd
Dandridge, TN 37725-4120
Phone (865) 382-4209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q023565 | Medicaid | TN | |
| 5440690 | Medicaid | TN | |
| 4107082 | Other | TN | BCBS PROVIDER NUMBER |
Other providers in Dandridge, TN
- Denise S Abel
- Trevor Adams
- Jenna Lynn Allocco
- Sarah Sue Armstrong
- Christi D Banks
- Teresa Francine Barker
- Barnes Vision PLLC
- Kristi Michelle Barnes
- Kyle Barnes
All providers in Dandridge, 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 Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.