Sandra K Fletchall, OTRL,CHT,FAOTA,MPA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0000000002 Issued in TN

Practice address

748 Walnut Knoll LN
Suite 1
Cordova, TN 38018-3110

Phone

(901) 507-4780

Fax

(901) 507-4786

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1356102065

  Occupational Therapist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD
• Capabilities for Living, LLC

  • Physical Therapy Clinic/Center
  • Cordova, TN
  • NPI 1912119199
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1801006184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 HELENE DR",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380534753",
            "telephone_number": "901-872-6025",
            "fax_number": "901-873-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 WALNUT KNOLL LN",
            "address_2": "SUITE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183110",
            "telephone_number": "901-507-4780",
            "fax_number": "901-507-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHALL",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "OTRL,CHT,FAOTA,MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000000002",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": "9105000371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katisha Fields
• First Pharmacy Services of Country Village
• Jack Coleman Fisher, D.M.D
• Terrence Deshon Fisher
• Victoria Brooks Fisher, OT
• Sidney Truman Fletcher, DDS
• Gradnette Fluker, LMSW
• Brandy Je'Vonne Flynn, M.S.
• Nicky Andrew Fong, D.D.S.
• Debra Forbes

• Occupational Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.