Jennifer Sharp Bryan
Individual provider Active NPI Occupational Therapy Assistant · Ardmore, TN
NPI 1760726129 · NPPES record last updated Nov 23, 2012
Key facts
- NPI
- 1760726129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 857 (TN)
- Practice address
- 25385 Main St
Ardmore, TN 38449-3155 - Phone
- (931) 427-2143
- NPI assigned
- Nov 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 857 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 857 | TN | Yes |
Addresses
Primary practice location
25385 Main St
Ardmore, TN 38449-3155
Mailing address
25385 Main St
Ardmore, TN 38449-3155
Phone (931) 427-2143
Other providers in Ardmore, TN
- Barrett Dental
- Jerry Owen Barrett
- Bender Chiropractic and Decompression LLC
- Donna Hamby Bishop
- Karen Dale Brock
- Diego Alejandro Cacho-Tovar
- Natalie Hargett Caracciolo
- Nicholas Christofidis
- Nathan Crawford
- Holly R Davis
All providers in Ardmore, 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 Nov 23, 2012. 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.