Cindy Duggan Peterson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3466 Issued in TN

Practice address

248 Lake Terrace Dr
Hendersonville, TN 37075-5122

Phone

(615) 573-5569

NPI assigned

Dec 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1992391239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 LAKE TERRACE DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370755122",
            "telephone_number": "615-573-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LAKE TERRACE DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370755122",
            "telephone_number": "615-573-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CINDY",
        "middle_name": "DUGGAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Makenzie Perry
• Kimberly Beth Perry
• Kylie Perry
• Klarise Jane Peters
• Cassidy Peterson, SLP
• Kylie Peterson
• Lily Kay Petracci
• Michael John Petracci, D.C
• Derek Scott Peveler, O.D.
• Mason Pfendler, AU.D.

• Occupational Therapy Assistant in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.