PHILIP L EDGEMON (NPI# 1063985943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063985943 |
| Entity Type | Individual |
| Full Name | PHILIP L EDGEMON |
| Credential | COTA |
| Practice Address |
520 Old Highway 68 Sweetwater TN 37874-6258 |
| Practice Telephone | 4233511050 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2873 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
520 OLD HIGHWAY 68 |
| City | SWEETWATER |
| State | TN |
| Zip Code | 37874-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760476865 | Wood Presbyterian Home, Inc. | Skilled Nursing Facility | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2005-09-02 |
| 1194340174 | Gabrielle Elizabeth Hermes | Physical Therapist | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2020-06-15 |
| 1972152486 | Elizabeth Jambor Rogers | Physical Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-09-06 |
| 1609422476 | Shawnee Osborne | Speech-Language Pathologist | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-08-16 |
| 1942867684 | Kristin Cooper | Physical Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-05-28 |
| 1629530035 | Sarah Sneed | Occupational Therapist | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-04-03 |
| 1942761986 | Amanda Tuscan | Physical Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-03-30 |
| 1659844348 | Jennifer Kay Oliver | Occupational Therapist | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-01-06 |
| 1811460504 | Whitney Ann Kelley | Physical Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-01-06 |
| 1063985844 | Angela Giles | Occupational Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109003 | Tammy Allen | Speech-Language Pathologist | 120 Clover Hill Drive, Sweetwater, TN 37874 | 2016-12-20 |
| 1194164996 | Wal-mart Stores East, Lp | Technician/Technologist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-06-14 |
| 1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
| 1568537868 | Joe Allen Moore | Dentist | 206 Mayes Ave, Sweetwater, TN 37874 | 2006-11-21 |
| 1699880518 | John Michael Fox | Dentist | 201 S High St, Sweetwater, TN 37874 | 2006-08-20 |
| 1114931516 | Thomas Alan Foster | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-07-28 |
| 1962486183 | Sweetwater Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 978 Highway 11 South, Sweetwater, TN 37874 | 2005-12-01 |
| 1518953777 | John G Richeson | Dentist | 745 New Highway 68, Sweetwater, TN 37874 | 2005-09-23 |
| 1861973737 | Shannon Dale Massingale | Pharmacist | 205 North Main Street, Sweetwater, TN 37874 | 2018-08-28 |
| 1962833913 | Bridgette Vestal | Pharmacist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-12-02 |
| Find all providers in zip 37874 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255354 | Teresa Suzette Fain | Occupational Therapy Assistant | 251 Meadow Ln, Sweetwater, TN 37874-6217 | 2019-06-25 |
| 1063985844 | Angela Giles | Occupational Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2019-01-04 |
| 1952873085 | Amber Dawn Pace-joslin | Occupational Therapy Assistant | 520 Old Highway 68, Sweetwater, TN 37874-6258 | 2018-12-31 |
| 1144702929 | Mason Sharp Mccall | Occupational Therapy Assistant | 705 Ne Georgia Ave, Sweetwater, TX 79556-8251 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1720685613 | Danielle N Hopkins | Occupational Therapy Assistant | 3107 Best Rd, Maryville, TN 37803-2647 | 2020-10-05 |
| 1538775507 | Kayla Renea Ruppe | Occupational Therapy Assistant | 116 Cumberland Street, Wartburg, TN 37887 | 2020-09-16 |
| 1114547569 | Jessica Michelle Trigueiro | Occupational Therapy Assistant | 2060 Durhamville Rd, Ripley, TN 38063-8434 | 2020-04-24 |
| 1326668195 | Taylor Winstead | Occupational Therapy Assistant | 1251 Wesley Dr Ste 141, Memphis, TN 38116-6443 | 2020-04-22 |
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1568095305 | Brianna Mckayla Bradley | Occupational Therapy Assistant | 544 Tall Trees Ln # 544, Nashville, TN 37209-5147 | 2020-02-20 |
| 1376183343 | Jessica Marie Adcock | Occupational Therapy Assistant | 2386 Fallingwater Ln Apt 304, Cordova, TN 38016-7684 | 2020-01-08 |
| 1396382610 | Jason Pack | Occupational Therapy Assistant | 9022 Richfield Ln, Knoxville, TN 37924-4579 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | SWEETWATER |
| Zip Code | 37874 |
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| 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.