Active NPI
Skye Blue Hill, COTA
- Environmental Modification Occupational Therapy Assistant
- Clarksville, TN
National Provider Identifier
1962286849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapy Assistant
- License
- 3414
- Practice address
- 250 Arrowood Dr
Clarksville, TN 37042-5186 - Phone
- (931) 245-4700
- NPI assigned
- Aug 22, 2023
- Last updated
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | 3414 | TN | Primary |
Addresses
Primary practice location
250 Arrowood Dr
Clarksville, TN 37042-5186
Mailing address
896 Hafner Rd
Charlotte, TN 37036-6214
Phone (931) 278-1090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3414 | TN | MD | Environmental Modification Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1962286849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 HAFNER RD",
"city": "CHARLOTTE",
"state": "TN",
"postal_code": "370366214",
"telephone_number": "931-278-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ARROWOOD DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370425186",
"telephone_number": "931-245-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SKYE",
"middle_name": "BLUE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": "TN",
"license": "3414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.