TERRI LYNN ELLISON (NPI# 1659764975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659764975 |
| Entity Type | Individual |
| Full Name | TERRI LYNN ELLISON |
| Credential | MSOT |
| Practice Address |
1430 Corporate Parkway Blvd Clarksville TN 37040-6196 |
| Mailing Address |
Po Box 681478 Franklin TN 37068-1478 |
| Practice Telephone | 9312450679 |
| Practice Fax Number | 9312450682 |
| Mailing Telephone | 6155916590 |
| Mailing Fax Number | 6155916601 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5171 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137816 | Terri Beth Ellison | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2020-06-07 |
| Street Address |
1430 CORPORATE PARKWAY BLVD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-6196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577467 | Kelli Anne Bride | Occupational Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2020-10-30 |
| 1790396067 | Dylan Houser | Physical Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2020-08-11 |
| 1649801846 | Paige Debiak | Occupational Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2020-01-28 |
| 1780143701 | Joshua Collins | Occupational Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2019-03-19 |
| 1477033959 | Sarah Martin | Physical Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2018-08-15 |
| 1306325857 | Sarah Pichini | Physical Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2018-08-07 |
| 1144757956 | Emily Ballard | Occupational Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| 1528699667 | Jacob Golembeski | Occupational Therapist | 303 Emerson Ave, Clarksville, IN 47129-1419 | 2020-01-28 |
| 1780214924 | Yam Chan | Occupational Therapist | 6405 Kilbrogan Ct, Clarksville, MD 21029-1294 | 2020-01-16 |
| 1679017701 | Phillip Henry Richmond II | Occupational Therapist | 427 Woodale Dr, Clarksville, TN 37042-7113 | 2016-12-08 |
| 1417321522 | Amanda Chapman | Occupational Therapist | 252 Cheshire Rd, Clarksville, TN 37043-5862 | 2015-12-01 |
| 1053747469 | Cara Owens | Occupational Therapist | 210 Needmore Rd, Suite A, Clarksville, TN 37040-6993 | 2013-09-17 |
| 1750716874 | Amanda K Linck | Occupational Therapist | 325 E Lewis and Clark Pkwy, Clarksville, IN 47129-1725 | 2013-09-09 |
| 1982967600 | Victoria Lynne Singer | Occupational Therapist | 2812 Wakefield Dr, Clarksville, TN 37043-6054 | 2012-06-18 |
| 1043580467 | Joyse Lopata | Occupational Therapist | 3476 Oak Creek Dr, Clarksville, TN 37040-6172 | 2012-01-02 |
| 1104106616 | Jessica Marie Henry | Occupational Therapist | 1100 Ted A Crozier Sr Blvd Ste A, Clarksville, TN 37043-8912 | 2011-08-29 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.