SMOKY MOUNTAIN OCCUPATIONAL THERAPY LLC (NPI# 1407473259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407473259 |
| Entity Type | Organization |
| Organization Name | SMOKY MOUNTAIN OCCUPATIONAL THERAPY LLC |
| Practice Address |
200 E Broadway Ave Ste 200 Maryville TN 37804-5709 |
| Mailing Address |
2896 Mcmahan Sawmill Rd Sevierville TN 37862-7623 |
| Practice Telephone | 8652010213 |
| Practice Fax Number | 8655003730 |
| Mailing Telephone | 8652010213 |
| Mailing Fax Number | 8655003730 |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-06-27 |
| Authorized Official Name | JAMIE T WILLIAMS (MEMBER MANAGER) |
| Authorized Official Telephone | 8652010213 |
| Authorized Official Credential | OTD OTRL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 E BROADWAY AVE STE 200 |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705211 | Bethany Edmond | Occupational Therapist | 102 Oriole Ln, Maryville, TN 37803-6524 | 2020-06-22 |
| 1053969626 | Alexandria Marie Buehne | Occupational Therapist | 12 Fox Mill Dr, Maryville, IL 62062-6713 | 2019-08-27 |
| 1790239069 | Melissa Renae Justice-west | Occupational Therapist | 613 Bridgeway Dr, Maryville, TN 37801-8545 | 2016-08-04 |
| 1619366820 | Anna Michele Teale | Occupational Therapist | 810 Arrowhead Cir, Maryville, MO 64468-8500 | 2015-01-12 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1770181711 | Eryn Lobo | Occupational Therapist | 2648 Sevierville Rd, Maryville, TN 37804-3643 | 2020-10-12 |
| 1962011072 | Emma Cordelia Newton | Occupational Therapist | 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2020-07-24 |
| 1346896313 | Cassandra Grossman | Occupational Therapist | 2320 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2019-08-14 |
| 1326609660 | Rosemary J Curtin | Occupational Therapist | 2648 Sevierville Rd, Maryville, TN 37804-3643 | 2019-06-26 |
| 1417411877 | Brandon Allen Knorr | Occupational Therapist | 2304 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2019-01-29 |
| Find all providers in MARYVILLE | ||||
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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.