Individual provider Active NPI

Tammy James Parker, COTA

  • Occupational Therapy Assistant
  • Loudon, TN
National Provider Identifier
1790957579
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA0000001280 Issued in TN
Practice address
1125 Grove St
Suite 120
Loudon, TN 37774-3251
Phone
(865) 458-8080
Fax
(865) 458-4111
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA0000001280 TN Primary

Addresses

Primary practice location

1125 Grove St
Suite 120
Loudon, TN 37774-3251

Mailing address

1125 Grove St
Suite 120
Loudon, TN 37774-3251
Phone (865) 458-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA0000001280TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Additions Therapy, LLC Past Accepting new patients

Organizations & group practices 1

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1790957579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GROVE ST",
            "address_2": "SUITE 120",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377743251",
            "telephone_number": "865-458-8080",
            "fax_number": "865-458-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 GROVE ST",
            "address_2": "SUITE 120",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377743251",
            "telephone_number": "865-458-8080",
            "fax_number": "865-458-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TAMMY",
        "middle_name": "JAMES",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.