Active NPI
Deborah Diana Bittenbender, OTD OTR/L
- Occupational Therapist
- Smyrna, TN
National Provider Identifier
1992285092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5690
- Practice address
- 1173 Rock Springs Rd Ste 105
Smyrna, TN 37167-8414 - Phone
- (579) 622-0615
- NPI assigned
- Aug 17, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5690 | TN | Primary |
Addresses
Primary practice location
1173 Rock Springs Rd Ste 105
Smyrna, TN 37167-8414
Mailing address
307 Browntown Rd
Chattanooga, TN 37415-2002
Phone (423) 364-1560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 398523 | Other | NATIONAL BOARD OF OCCUPATIONAL THERAPY CERTIFICATION NUMBER | |
| 5960 | Other | TN | TN BOARD OF OT LICENSURE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1992285092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BROWNTOWN RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374152002",
"telephone_number": "423-364-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 ROCK SPRINGS RD STE 105",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371678414",
"telephone_number": "579-622-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTENBENDER",
"first_name": "DEBORAH",
"middle_name": "DIANA",
"credential": "OTD OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF OCCUPATIONAL THERAPY CERTIFICATION NUMBER",
"identifier": "398523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BOARD OF OT LICENSURE NUMBER",
"identifier": "5960",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.