Individual provider Active NPI

Janet Pugh, OTR

  • Occupational Therapist
  • Manchester, TN
National Provider Identifier
1740524347
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2102 Issued in TN
Practice address
585 Interstate Dr Ste a
Manchester, TN 37355-3191
Phone
(931) 723-7156
NPI assigned
Nov 20, 2012
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2102 TN Primary

Addresses

Primary practice location

585 Interstate Dr Ste a
Manchester, TN 37355-3191

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130522000663 TN Practitioner - Occupational Therapist in Private Practice 1254579774 Reassigns benefits to 2 organizations
I20240115000245 OK Practitioner - Occupational Therapist in Private Practice 1254579774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

119 Bryan Ave
Manchester, TN 37355-2585
Phone (931) 345-2655

6302 SW Lee Blvd
Lawton, OK 73505-9100
Phone (580) 536-6800

711 Kings LN
Tullahoma, TN 37388-5372
Phone (931) 291-6152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2102TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Mar 31, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Mar 31, 2025 Accepting new patients
Broad River Rehabilitation Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients
Star Physical Therapy LP PastSince Sep 27, 2020 Accepting new patients
Star Physical Therapy LP PastSince Sep 27, 2020 Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

119 Bryan Ave
Manchester, TN 37355
Phone (270) 993-4789

711 Kings Ln
Tullahoma, TN 37388
Phone (931) 253-7075

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1740524347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 INTERSTATE DR STE A",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553191",
            "telephone_number": "931-723-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "JANET",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.