Melanie Grace Carr, OTR/L
Individual provider Active NPI Specialist · Madisonville, TN
NPI 1962585174 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1962585174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OT0000002773 (TN)
- Practice address
- 117 Lake Rd
Madisonville, TN 37354-6030 - Phone
- (423) 295-4346
- Fax
- (423) 420-1785
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT0000002773 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health - Blount Memorial Hospital Inc. | Past | Accepting new patients | |
| Daniel Long | Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT0000002773 | TN | Yes |
Addresses
Primary practice location
117 Lake Rd
Madisonville, TN 37354-6030
Mailing address
117 Lake Rd
Madisonville, TN 37354-6030
Phone (423) 295-4346
Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.