Darrick Shane Blankenship, OT
Individual provider Active NPI Occupational Therapist · Lenoir City, TN
NPI 1871661371 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871661371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT0000003043 (TN)
- Practice address
- 785 US Hwy 321 N
Ste 20
Lenoir City, TN 37771 - Phone
- (865) 986-6611
- Fax
- (865) 988-6904
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| OT0000003043 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aacet, Inc | Occupational Therapist | Past | Accepting new patients |
| Aacet, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0000003043 | TN | Yes |
Addresses
Primary practice location
785 US Hwy 321 N
Ste 20
Lenoir City, TN 37771
Mailing address
PO Box 6167
Maryville, TN 37802-6167
Phone (865) 977-8007
Other providers in Lenoir City, TN
- Brittany Lashae Bentz
- Sarah Bertini
- Bio-Medical Applications of Tennessee, Inc.
- Britton Keith Bishop
- Carolyn Ann Bivens
- Mary Kathleen Blankenship
- John Bockmann
- Robert James Boehm
- Alexandaria Marie Bolz
- Joshua David Booher
All providers in Lenoir City, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.