Mark Durant Preston, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

414 Issued in TN

Practice address

306 Homepark Rd
Kingston, TN 37763-4434

Phone

(865) 376-3474

Fax

(865) 717-0182

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Therapeutic Solutions, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kingston, TN
  • NPI 1134341506
  NPD (past) Authorized official
• Daniel Long

  • Specialist
  • Madisonville, TN
  • NPI 1972686194
  NPD (past)
• Prisma Health - Blount Memorial Hospital Inc.

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942413620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOMEPARK RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634434",
            "telephone_number": "865-376-3474",
            "fax_number": "865-717-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOMEPARK RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634434",
            "telephone_number": "865-376-3474",
            "fax_number": "865-717-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MARK",
        "middle_name": "DURANT",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4130415",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Phillips, LADAC II, CAMS II
• Tammie Pierce, PTA
• Marta Yanes Piper, PHARMD
• Sierra Alexandria Poland, HHA
• Jeanne H Powers, PT
• Ladonna Raymond, CCC-SLP
• Heather Redmon
• Roane Medical Center
• Robert Keith Albiston
• Robert S. Parker, III, O.D., PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.