Constance Elam, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5594 Issued in TN

Practice address

3180 Professional PLZ Ste 101
Germantown, TN 38138-1534

Phone

(901) 328-2104

NPI assigned

Jun 19, 2013

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Constance Rigdon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JH & Associates, LLC

  dba Janna Hacker and Associates

  • Speech-Language Pathologist
  • Germantown, TN
  • NPI 1972808301

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1912346313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 OVERCUP OAKS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380180427",
            "telephone_number": "662-897-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PROFESSIONAL PLZ STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381534",
            "telephone_number": "901-328-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8767 Overcup Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380180427",
            "country_code": "US",
            "telephone_number": "662-897-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAM",
        "first_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2571",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "5594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "RIGDON",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark S. Edwards, M.D.
• Thomas E Edwards, LCSW
• Jonathon Scott Egbert, D.D.S.
• Ellen Schlossberg Eisen, LCSW
• Alan D Eisenberg, M.D.
• Yasmeen Elaskary
• Elite Dental Germantown PLC
• Claire C Ellender, PAC
• Kathryn Ellis
• Richard Alan Ellis, M.D.

• Pediatric Occupational Therapist in Germantown, TN
• Providers in Germantown, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.