Pediatric Therapy Associates LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PEDIATRIC THERAPY ASSOCIATES LLC

Practice address

2896 McMahan Sawmill Rd
Sevierville, TN 37862-7623

Phone

(770) 355-5081

Fax

(770) 363-1323

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By 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

Jamie Thibodeaux Williams, OTD, OTR/LNPI 1851758403

Title

Owner

Phone

(770) 355-5081

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jamie T Williams, OTD, OTR/L

  • Occupational Therapist
  • Sevierville, TN
  • NPI 1851758403
  NPD (past) Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1942780838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 MCMAHAN SAWMILL RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378627623",
            "telephone_number": "770-355-5081",
            "fax_number": "770-363-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 MCMAHAN SAWMILL RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378627623",
            "telephone_number": "770-355-5081",
            "fax_number": "770-363-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "THIBODEAUX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-355-5081",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishwa Patel, PHARM. D
• Patrick Fitzgerald OD PA
• Richard Franklin Patrick, O.D.
• Selena Gayle Patterson
• Jessica Hembree Payne, FNP-BC
• Candy D Pelham
• Rhonda McDuffie Pemberton, LCSW
• Austin Sue Ann Pershing
• Emily Morgan Pettis, PHARMD
• Jeffrey Alan Pettis, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.