Active NPI
Keith Risinger
- Occupational Therapist
- Savannah, TN
National Provider Identifier
1801094545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2178
- Practice address
- 935 Wayne Rd
Savannah, TN 38372-1937 - Phone
- (731) 926-4885
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2178 | TN | Primary |
Addresses
Primary practice location
935 Wayne Rd
Savannah, TN 38372-1937
Mailing address
120 Chickasaw Dr
Savannah, TN 38372-1153
Phone (731) 925-5403
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2178 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801094545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CHICKASAW DR",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383721153",
"telephone_number": "731-925-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 WAYNE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383721937",
"telephone_number": "731-926-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISINGER",
"first_name": "KEITH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.