MS. REBECCA LYNN PETTICORD (NPI# 1851653653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851653653 |
| Entity Type | Individual |
| Full Name | MS. REBECCA LYNN PETTICORD |
| Credential | OT |
| Practice Address |
1790 Hamill Rd Hixson TN 37343-4905 |
| Practice Telephone | 4238429322 |
| Practice Fax Number | 8665910619 |
| Mailing Telephone | 4238429322 |
| Mailing Fax Number | 8665910619 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT0000004081 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1790 HAMILL RD |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265494876 | Kevin Kostka | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-4905 | 2006-04-06 |
| 1336631605 | John Charles Gilpin | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2018-06-03 |
| 1376055905 | William Thomas Payne | Occupational Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2017-11-05 |
| 1669920914 | Emily Allwine | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2016-09-15 |
| 1326498353 | Lindsey L Swinson | Occupational Therapy Assistant | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2016-06-21 |
| 1831549989 | Nicholas Feira | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2016-06-20 |
| 1487041141 | Brian Porbansky | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2015-04-21 |
| 1477965762 | Ethan Braytenbah | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2014-05-21 |
| 1871915066 | Steven Asbury | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2014-01-08 |
| 1316285463 | Angela Cross | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2013-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| 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 |
|---|---|---|---|---|
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1528512167 | Haley Gros | Occupational Therapist | 210 Masters Ct, Hixson, TN 37343-3012 | 2016-08-11 |
| 1427462365 | Hannah Doyle | Occupational Therapist | 2143 Northpoint Blvd, Hixson, TN 37343-4697 | 2014-06-18 |
| 1467866848 | The Weston Group of Tennessee Inc | Occupational Therapist | 5501 Old Hixson Pike, Hixson, TN 37343-4881 | 2014-06-13 |
| 1083986319 | Daniel K Shaughnessy | Occupational Therapist | 1224 Cranbrook Dr, Hixson, TN 37343-4804 | 2012-02-02 |
| 1023285814 | Independent Physical Therapy LLC | Occupational Therapist | 5022 Old Godsey Ln Ste 3, Hixson, TN 37343-6604 | 2008-05-12 |
| 1376055905 | William Thomas Payne | Occupational Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2017-11-05 |
| 1063773158 | Haley Walton | Occupational Therapist | 1790 Hamill Rd, Hixson, TN 37343-4905 | 2012-06-05 |
| 1407148513 | Allison Holt Foreman | Occupational Therapist | 6594 Orange Plank Dr, Hixson, TN 37343-3394 | 2011-05-07 |
| 1609822014 | Heather Nicole Haberhern | Occupational Therapist | 5022 Old Godsey Ln, Suite 3, Hixson, TN 37343-6600 | 2006-05-26 |
| Find all providers in HIXSON | ||||
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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.