Emma Ingram
Individual provider Active NPI Occupational Therapy Assistant · Bradyville, TN
NPI 1700599347 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1700599347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3815 (TN)
- Practice address
- 830 Parker Dr
Bradyville, TN 37026-5020 - Phone
- (931) 247-8532
- NPI assigned
- Dec 28, 2022
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3815 | TN | Yes |
Addresses
Primary practice location
830 Parker Dr
Bradyville, TN 37026-5020
Mailing address
830 Parker Dr
Bradyville, TN 37026-5020
Other providers in Bradyville, TN
All providers in Bradyville, 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 Dec 28, 2022. 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.