ROBERT FLY (NPI# 1609393321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609393321 |
| Entity Type | Individual |
| Full Name | ROBERT FLY |
| Credential | COTA/L |
| Practice Address |
8017 Dogwood Ln Milan TN 38358-6805 |
| Mailing Address |
187 Milan Hwy Milan TN 38358-6035 |
| Practice Telephone | 7316868373 |
| Mailing Telephone | 7316934008 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA0000002906 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8017 DOGWOOD LN |
| City | MILAN |
| State | TN |
| Zip Code | 38358-6805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366467276 | Nhc Healthcare-milan LLC | Skilled Nursing Facility | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2006-07-12 |
| 1083253462 | Felicia Perry | Physical Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2020-01-02 |
| 1679128797 | Kristen Nicole Gray | Occupational Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2019-08-06 |
| 1801456900 | Katherine Tate | Occupational Therapist | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2019-06-19 |
| 1669948311 | Jon-marc Gowan | Physical Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2018-10-21 |
| 1508382730 | Kristie Moore | Occupational Therapist | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2017-08-18 |
| 1780135129 | Ashley Nichole Collins | Occupational Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358 | 2016-10-20 |
| 1699226464 | Shera Cody Culp | Speech-Language Pathologist | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2016-10-17 |
| 1578012449 | Jennifer Russell | Physical Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2016-10-03 |
| 1740650183 | Anna Marie Moore | Physical Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2015-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478561 | Virginia Houston Emerson | Pharmacist | Walgreens 15785, 6068 S First St, Milan, TN 38358 | 2020-08-20 |
| 1245756329 | Trey Anderson Tate | Physical Therapist | 2060 Rhino Crossing, Milan, TN 38358 | 2017-08-21 |
| 1407254808 | Shelley Nicole Reaves | Registered Nurse | 9159 Telecom Dr, Milan, TN 38358 | 2014-12-17 |
| 1871908632 | Kathleen L Ingalls | Physical Therapist | 6070 D South First Street, Milan, TN 38358 | 2014-06-30 |
| 1881968550 | Home Master Group | Contractor | 2052 Rhino Crossing, Milan, TN 38358 | 2012-02-28 |
| 1073826889 | Howell Scott Holmes Jr. | Physical Therapist | 2047 Kefauver Dr Ste B, Milan, TN 38358 | 2010-07-21 |
| 1831249093 | State of Tennessee | Public Health or Welfare | 6501 Telecom Drive, Milan, TN 38358 | 2007-01-11 |
| 1275681744 | Krystal L Maclin | Occupational Therapist | 8017 Dogwood Lane, Milan, TN 38358 | 2007-01-08 |
| 1417978206 | Carol Ann Minton | Optometrist | 6032 Telecom Drive, Milan, TN 38358 | 2006-07-21 |
| 1487682142 | William Hudson Harrison | Dentist | 4129 S 1st St, Milan, TN 38358 | 2006-06-29 |
| Find all providers in zip 38358 | ||||
| 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 |
|---|---|---|---|---|
| 1831500529 | Patricia Stieber | Occupational Therapy Assistant | 2111 State Route 113 W, Milan, OH 44846-9719 | 2014-05-15 |
| 1881967933 | Jessica Anne Herbst | Occupational Therapy Assistant | 2 Brooklyn Heights Rd, Apt 1, Milan, NY 12571-4706 | 2012-02-21 |
| 1154634715 | Gwen Eichin | Occupational Therapy Assistant | 235 Odak Farm Rd, Milan, NY 12571-4026 | 2010-07-23 |
| 1679128797 | Kristen Nicole Gray | Occupational Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2019-08-06 |
| 1780135129 | Ashley Nichole Collins | Occupational Therapy Assistant | 8017 Dogwood Ln, Milan, TN 38358 | 2016-10-20 |
| 1700200581 | Linda Bollenbacher I | Occupational Therapy Assistant | 140 S Main St, Milan, OH 44846-9735 | 2014-02-13 |
| 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 |
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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.