| Amanda M Lizzio, OTR/L | |
|
1300 Bloomingdale Pike, Kingsport, TN 37660-2685 | |
| (865) 531-2204 | |
| Not Available |
| Full Name | Amanda M Lizzio |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1300 Bloomingdale Pike, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417346214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4507 (Tennessee) | Secondary |
| 225X00000X | Occupational Therapist | 20211 (Florida) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130531000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M Lizzio, OTR/L 1320 Sw Pointview Rd, Keystone Heights, FL 32656-9500 Ph: (423) 791-0192 | Amanda M Lizzio, OTR/L 1300 Bloomingdale Pike, Kingsport, TN 37660-2685 Ph: (865) 531-2204 |
Mrs. Rekha S Gupta, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5535 | |
Mr. Peter John Kitching, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Kingsport, TN 37660 Phone: 423-224-5751 | |
Mrs. Kimberly D Jessee, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5535 Fax: 423-224-5544 | |
Miss Elizabeth L Snapp, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Suite 1d, Kingsport, TN 37660 Phone: 423-578-1560 | |
Robert Lee Varney Ii, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 West Stone Dr., Kingsport, TN 37660 Phone: 423-224-5570 Fax: 423-224-3045 | |
Carson Leigh Ann Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-765-9655 | |
Susan Netherland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 |