KELLY AMYX


Address: 121 Village Dr, Suite 103, Portland, TN 37148-1418
Phone: 6153237575

KELLY AMYX (NPI# 1023057650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023057650
Entity Type Individual
Full Name KELLY AMYX
Credential MSOT
Practice Address 121 Village Dr
Suite 103
Portland
TN 37148-1418
Mailing Address Po Box 681478
Franklin
TN 37068-1478
Practice Telephone 6153237575
Practice Fax Number 6153230677
Mailing Telephone 8668009147
Mailing Fax Number 6155916601
Enumeration Date 2006-06-06
Last Update Date 2009-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 2969 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBS OF TENNESSEE 4220815 01

Office Location

Street Address 121 VILLAGE DR
SUITE 103
City PORTLAND
State TN
Zip Code 37148-1418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417237728 Southern Sports Medicine Portland Specialist 121 Village Dr, Ste 102 & 103, Portland, TN 37148-1418 2011-08-18
1801046586 Andrea Reed Nurse Practitioner 121 Village Dr, Suite 101, Portland, TN 37148-1418 2008-09-30
1487842639 Trevor Benjamin Brandt Physical Therapist 121 Village Dr, Suite 103, Portland, TN 37148-1418 2007-10-11
1770523748 Jason A Bruns Physical Therapist 121 Village Dr, 103, Portland, TN 37148 2006-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1710494117 Lydia Ellen Hicks Registered Nurse 214 W. Longview Drive, Portland, TN 37148 2018-01-08
1487903696 Jennifer Leigh Toney Registered Nurse 101 Maurice Ct, Portland, TN 37148 2012-09-04
1366712770 Pamela Poghen Registered Nurse 235 Hwy 52 E, Portland, TN 37148 2012-01-03
1003090036 State of Tennessee Public Health or Welfare 214 West Longview Drive, Portland, TN 37148 2007-12-27
1437256930 Tennessee Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 304 A S Broadway Ste A, Portland, TN 37148 2006-09-20
1568494243 Melissa R Cook Nurse Practitioner 932-b South Broadway, Portland, TN 37148 2006-07-06
1225200306 Lisa Nazarenus Nurse Practitioner 307 S Broadway, Portland, TN 37148 2008-03-28
1841350196 Edward Freeman Kirkpatrick Jr. Dentist 307 Reed St, Portland, TN 37148-0410 2006-12-09
1134556616 Brandy Nicole Carson Nurse Practitioner 201 N Broadway, Portland, TN 37148-1111 2013-09-30
Find all providers in zip 37148

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720685258 Dakota Stewart Occupational Therapist 12765 Nw Lovejoy St, Portland, OR 97229-4644 2020-10-07
1124632674 Samantha M Mack Occupational Therapist 24 Hillcrest Cir, Portland, ME 04103-1443 2020-09-02
1639782386 Marie Trevisan Occupational Therapist 4110 Ne Tillamook St Apt 307, Portland, OR 97212-5359 2020-08-24
1649899568 Suzanna Braverman Occupational Therapist Ohsu Center for Health and Healing Rehabilitation, 3303 Sw Bond Ave, Portland, OR 97239-3098 2020-04-10
1265064562 Paul Jungwirth Occupational Therapist 11 Russell St Apt 3, Portland, ME 04102-3161 2020-02-05
1144850074 Keirstalyn Wade Occupational Therapist 5335 Ne Irving St, Portland, OR 97213-3157 2020-01-20
1083254973 Brina Kelly Occupational Therapist 10 Pleasant Ave, Portland, ME 04103-3218 2020-01-08
1144889726 Jessica Campbell Occupational Therapist 587 Riverside St, Portland, ME 04103-1289 2019-06-07
1366906711 Julia Integlia Welter Occupational Therapist 12 Saint Lawrence St Unit 1, Portland, ME 04101-4316 2019-01-29
1710453840 Amanda Sisco Occupational Therapist 4138 Se 76th Ave, Portland, OR 97206-3350 2018-10-16
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 37148

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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