Mrs Shelley Pevahouse, OTR/L is a
Occupational Therapist based in Waverly, Tennessee. Mrs Shelley Pevahouse is licensed to practice in Tennessee (license number 0000003064) and her current practice location is
895 Powers Blvd, Waverly, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 296-7552.
NPI number for Mrs Shelley Pevahouse is 1750614129 and her current mailing address is 1198 Johnny Hall Rd, Burns, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750614129.
Healthcare Provider's Profile
Full Name | Mrs Shelley Pevahouse |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 895 Powers Blvd, Waverly, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750614129
- Provider Enumeration Date: 09/16/2009
- Last Update Date: 09/16/2009
Medical Identifiers
Medical identifiers for Mrs Shelley Pevahouse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750614129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0000003064 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shelley Pevahouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shelley Pevahouse, OTR/L 1198 Johnny Hall Rd, Burns, TN 37029-5682 Ph: (615) 476-7385 | Mrs Shelley Pevahouse, OTR/L 895 Powers Blvd, Waverly, TN 37185-1018 Ph: (931) 296-7552 |
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