Individual provider Active NPI

Randy H. Worde, OTR, CHT, CEAS

  • Hand Occupational Therapist
  • Cleveland, TN
National Provider Identifier
1740483635
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
646 Issued in TN
Practice address
3575 Keith St NW
Ste 205
Cleveland, TN 37312-4324
Phone
(423) 559-0444
Fax
(423) 559-0103
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 646 TN Primary

Addresses

Primary practice location

3575 Keith St NW
Ste 205
Cleveland, TN 37312-4324

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001699 TN Practitioner - Occupational Therapist in Private Practice 2769422096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
646TNMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Hand CurrentSince Jan 20, 2025 Accepting new patients
Erlanger Health CurrentSince Jan 20, 2025 Accepting new patients
Tristate Orthopedics Hand Past Accepting new patients
Alaska Hand Rehabilitation, Inc. Hand PastSince Jun 14, 2010 Accepting new patients

Locations

1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698

1100 E 3rd St
Ste G103
Chattanooga, TN 37403
Phone (423) 648-0698

2700 Westside Dr NW
Ste 103
Cleveland, TN 37312
Phone (423) 472-1511

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCDIAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1740483635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 KEITH ST NW",
            "address_2": "STE 205",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124324",
            "telephone_number": "423-559-0444",
            "fax_number": "423-559-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDE",
        "first_name": "RANDY",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT, CEAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TN",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.