Active NPI
Mariah Priscillah Pettit, MED.,OTR/L
- Occupational Therapist
- Antioch, TN
National Provider Identifier
1952380339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5666
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT94 | ME | MD | Pediatric Occupational Therapist |
| OC005816L | PA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feltz Therapy Services, LLC | Occupational Therapist | Current | 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.
-
- Rehabilitation Clinic/Center
- Smyrna, TN
- NPI 1730165184
Occupational Therapist
-
- Occupational Therapist
- Antioch, TN
- NPI 1700706157
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.