Mountain City Pediatric Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MOUNTAIN CITY PEDIATRIC THERAPY

Practice address

146 Calvary Lane
Mountain City, TN 37683

Phone

(423) 218-9729

Fax

(423) 727-0730

NPI assigned

Aug 15, 2020

Last updated

Nov 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney AndersenNPI 1689066383

Title

Otr/L, Owner

Phone

(423) 218-9729

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Ann Andersen, OTR/L

  • Occupational Therapist
  • Mountain City, TN
  • NPI 1689066383
  NPD Authorized official
• Lisa Hill, OTRL

  • Occupational Therapist
  • Bradenton, FL
  • NPI 1790813038
  NPD (past)

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

{
    "created_epoch": "1597449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1922619667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CALVARY LANE",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "37683",
            "telephone_number": "423-218-9729",
            "fax_number": "423-727-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CALVARY LANE",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "37683",
            "telephone_number": "423-218-9729",
            "fax_number": "423-727-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CITY PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-15",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OTR/L, OWNER",
        "authorized_official_telephone_number": "423-218-9729"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alea Moore, PHARMD
• April Morrison, FNP-BC
• Christina Nicole Morton, NP-C
• Taunda Leanne Motsinger, FNP
• Mountain City Family Vision Inc.
• Mountain Home Vamc
• Mountain States Health Alliance (BHRHC Mt. City)
• Mountain States Health Alliance (Johnson County Home Health)
• Mountain States Health Alliance (Johnson County Community Hospital)
• Mountain States Health Alliance (Bhrhc Mtncity)

• Occupational Therapist in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.