Mason Mercedes Anderson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Cookeville, TN
NPI 1902451974 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1902451974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3273 (TN)
- Practice address
- 1 Medical Center Blvd
Cookeville, TN 38501-4294 - Phone
- (931) 528-2541
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3273 | TN | Yes |
Addresses
Primary practice location
1 Medical Center Blvd
Cookeville, TN 38501-4294
Mailing address
951 Woods LN
Pall Mall, TN 38577-4606
Other practice location 1
951 Woods Ln
Pall Mall, TN 38577-4606
Phone (931) 704-6508
Other practice location 2
815 S Walnut Ave
Cookeville, TN 38501-5956
Phone (931) 528-5516
Other providers in Cookeville, TN
- Anchor Psychiatry
- Conner Anderson
- Gretchen Nickole Anderson
- Kayla Elizabeth Anderson
- Mark Elliott Anderson
- Roy R Anderson
- Sarah Elizabeth Anderson
- Spencer Hayes Anderson
- Wendy Denise Anderson
- Aja Andrews
All providers in Cookeville, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. 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.