Active NPI
Grace Pitts
- Pediatric Occupational Therapist
- Clarksville, TN
National Provider Identifier
1962967364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5166
- Practice address
- 204 Harnett CT Ste C
Clarksville, TN 37043-2066 - Phone
- (931) 801-3094
- NPI assigned
- Feb 10, 2019
- Last updated
- Feb 10, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5166 | TN | Primary |
Addresses
Primary practice location
204 Harnett CT Ste C
Clarksville, TN 37043-2066
Mailing address
1950 Norwood TRL
Clarksville, TN 37043-4635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Uffelman Dr
Clarksville, TN 37043-2909
Phone (931) 444-1980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5166 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Current | Accepting new patients | |
| Pitts Therapies, LLC | Past | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
207 Uffelman Dr
Clarksville, TN 37043
Phone (931) 444-1980
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Knoxville, TN
- NPI 1306454558
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
dba Cornerstone Pediatric Therapies
- Occupational Therapist
- Clarksville, TN
- NPI 1902455918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549756800000",
"number": "1962967364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 NORWOOD TRL",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HARNETT CT STE C",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432066",
"telephone_number": "931-801-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-10",
"last_updated": "2019-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "5166",
"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 Feb 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.