MISS LYNNZE TAYLOR ETHRIDGE (NPI# 1578116414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578116414 |
| Entity Type | Individual |
| Full Name | MISS LYNNZE TAYLOR ETHRIDGE |
| Credential | OTD, OTR/L |
| Practice Address |
65 Mouse Creek Rd Nw Cleveland TN 37312-4840 |
| Practice Telephone | 4234767212 |
| Practice Fax Number | 4234761673 |
| Mailing Telephone | 4234767212 |
| Mailing Fax Number | 4234761673 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6299 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE OF TN. LICENSE NUMBER | 6299 | 01 |
| Street Address |
65 MOUSE CREEK RD NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774216 | Larry Austin Gilliam | Family Medicine | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2005-07-15 |
| 1033737572 | Meghan Shaul Robinson | Occupational Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2020-07-10 |
| 1831738145 | Nicola Ann Johnson | Speech-Language Pathologist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2020-01-03 |
| 1982930350 | Center for Pain Management, Pllc | Pain Medicine | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2009-10-20 |
| 1144493925 | Desiree Deeanna Kinard | Physician Assistant | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2008-04-11 |
| 1265601942 | Marsha Cox Brown | Speech-Language Pathologist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2008-02-26 |
| 1750306098 | Rene Nadine Czerkasij | Occupational Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-13 |
| 1134154875 | Blythe Robin Hamilton | Physical Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-11 |
| 1417982125 | Curteis J. Laboy | Physical Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-11 |
| 1831124551 | Dana L. Bryan | Physical Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| 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 |
|---|---|---|---|---|
| 1245869916 | Lucas Mathews | Occupational Therapist | 137 Mapleton Ridge Dr Nw, Cleveland, TN 37312-6011 | 2020-04-05 |
| 1548898216 | Manisha Agarwal | Occupational Therapist | Clevelandclinic 10524 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-30 |
| 1740835677 | Sydney A Bauer | Occupational Therapist | 1648 Brainard Ave, Cleveland, OH 44109-1703 | 2019-08-07 |
| 1083196463 | Lisa M Bolman | Occupational Therapist | 2529 Detroit Ave, Cleveland, OH 44113-2701 | 2018-09-03 |
| 1164908612 | Get Set Grow Therapies | Occupational Therapist | 954 Anatole Ct Nw, Cleveland, TN 37312-8244 | 2018-07-18 |
| 1932626694 | Wesley W Radicioni | Occupational Therapist | 29 Earl Ave, Cleveland, MS 38732-9566 | 2017-08-24 |
| 1316461825 | Independent Physical Therapy | Occupational Therapist | 2556 Dalton Pike Se, Cleveland, TN 37323-7157 | 2017-07-27 |
| 1780110502 | Katherine Rice | Occupational Therapist | 1111 Superior Ave E, Suite 1800, Cleveland, OH 44114 | 2017-05-11 |
| 1861942062 | Codie Wilson | Occupational Therapist | 1113 Cookdale Trl Nw, Cleveland, TN 37312-3610 | 2016-10-11 |
| 1194271577 | Champion Therapy Services | Occupational Therapist | 603 N C Ave, Cleveland, OK 74020-2211 | 2016-08-26 |
| Find all providers in CLEVELAND | ||||
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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.