Individual provider Active NPI

Mariah Priscillah Pettit, MED.,OTR/L

  • Occupational Therapist
  • Antioch, TN
National Provider Identifier
1952380339
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5666 Issued in TN
Practice address
4029 Lavergne Couchville Pike
Antioch, TN 37013-1402
Phone
(615) 943-1515
Fax
(615) 793-7307
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5666 TN Primary

Addresses

Primary practice location

4029 Lavergne Couchville Pike
Antioch, TN 37013-1402

Mailing address

4029 Lavergne Couchville Pike
Antioch, TN 37013-1402
Phone (615) 943-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
OT94MEMDPediatric Occupational Therapist
OC005816LPAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feltz Therapy Services, LLC Occupational Therapist CurrentSince Mar 12, 2024 Accepting new patients
Ace'S Integrated Occupational Therapy Services LLC Occupational Therapist Past Accepting new patients

Locations

1173 Rock Springs Rd
Ste 105
Smyrna, TN 37167
Phone (615) 220-5756

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1952380339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 LAVERGNE COUCHVILLE PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131402",
            "telephone_number": "615-943-1515",
            "fax_number": "615-793-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 LAVERGNE COUCHVILLE PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131402",
            "telephone_number": "615-943-1515",
            "fax_number": "615-793-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "MARIAH",
        "middle_name": "PRISCILLAH",
        "name_prefix": "Ms.",
        "credential": "MED.,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.