Individual provider Active NPI

Paula Offutt, ORT/L

  • Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1902119969
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1739 Issued in TN
Practice address
3207 Rosemont Dr
Chattanooga, TN 37411-4219
Phone
(423) 622-1551
Fax
(423) 622-1556
NPI assigned
Jul 20, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1739 TN Primary

Addresses

Primary practice location

3207 Rosemont Dr
Chattanooga, TN 37411-4219

Mailing address

3207 Rosemont Dr
Chattanooga, TN 37411-4219
Phone (423) 622-1551

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
OT1739TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellartherapy Services, LLC Occupational Therapist PastSince May 25, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1902119969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 ROSEMONT DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114219",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 ROSEMONT DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114219",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFUTT",
        "first_name": "PAULA",
        "credential": "ORT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.