Mrs Cathy Lynn Otis, OT | |
500 Lebanon Valley Church Rd, Cleveland, TN 37311-8477 | |
(423) 310-0555 | |
(423) 479-4421 |
Full Name | Mrs Cathy Lynn Otis |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 500 Lebanon Valley Church Rd, Cleveland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336363126 | NPI | - | NPPES |
4130281 | Other | TN | BCBS PROVIDER NO |
5441019 | Medicaid | TN | |
OT2379 | Other | TN | TN MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT2379 (Tennessee) | Secondary |
225X00000X | Occupational Therapist | OT0000002379 (Tennessee) | Primary |
Provider Name | Therapeutic Rehab Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164634820 PECOS PAC ID: 1658416482 Enrollment ID: O20100304000769 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cathy Lynn Otis, OT 500 Lebanon Valley Church Rd, Cleveland, TN 37311-8477 Ph: (423) 310-0555 | Mrs Cathy Lynn Otis, OT 500 Lebanon Valley Church Rd, Cleveland, TN 37311-8477 Ph: (423) 310-0555 |
Meghan Shaul Robinson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Mouse Creek Rd Nw, Cleveland, TN 37312 Phone: 423-476-7212 Fax: 423-476-1673 | |
Zachary Scott, OTR/L, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2255 Candies Ln Nw, Cleveland, TN 37312 Phone: 423-472-4700 | |
Anna Chancey, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2276 Candies Ln Nw, Cleveland, TN 37312 Phone: 423-328-8745 | |
Abigail Coco-glover, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2276 Candies Ln Nw, Cleveland, TN 37312 Phone: 423-328-8745 | |
Douglas Cole, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3575 Keith St Nw Ste 205, Cleveland, TN 37312 Phone: 423-559-0444 Fax: 423-559-0103 | |
Mrs. Abigail Christine Troeder, MSOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Mouse Creek Rd Nw, Cleveland, TN 37312 Phone: 423-476-7212 Fax: 423-476-1673 | |
Kyle Tunnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Old Charleston Rd Ne, Cleveland, TN 37312 Phone: 423-914-1726 |