Etta Renee Rich

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

900 W Main St
Rogersville, TN 37857-2448

Phone

(423) 500-5600

Fax

(423) 317-7773

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan C BlackGroup PAC ID 5890117469, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jordan C Black

  • Physical Therapist
  • Morristown, TN
  • NPI 1528569316
  Medicare reassignment Care Compare group
• Tristar Physical Therapy LLC

  • Physical Therapist
  • Morristown, TN
  • NPI 1770116485
  NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1902437478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572448",
            "telephone_number": "423-500-5600",
            "fax_number": "423-317-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Hamilton Pl",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047920",
            "country_code": "US",
            "telephone_number": "423-804-1020",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Hampshire Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378013525",
            "country_code": "US",
            "telephone_number": "865-518-6791",
            "fax_number": "865-518-6794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Hedrick Dr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378212930",
            "country_code": "US",
            "telephone_number": "423-438-1124",
            "fax_number": "423-244-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378256606",
            "country_code": "US",
            "telephone_number": "423-381-8813",
            "fax_number": "423-254-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Broadway Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bean Station",
            "state": "TN",
            "postal_code": "377082016",
            "country_code": "US",
            "telephone_number": "865-935-8111",
            "fax_number": "423-822-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Morris Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132237",
            "country_code": "US",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602810",
            "country_code": "US",
            "telephone_number": "865-375-0880",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "ETTA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakita Mae Ramsey, NP-C
• Molly Ramsey, DDS
• Jesse L Reed, PHARMD
• Beth Ann Reuschel, PT
• Revive Wellness, PC
• Megan Danielle Rimer, FNP
• Tyler J Ringley, DPT
• Mariah M Rivera
• Tammy Lorraine Robbins, BSW
• Brooke Leanna Roberts, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.