JILL RENEE BANNISTER (NPI# 1093716516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093716516 |
| Entity Type | Individual |
| Full Name | JILL RENEE BANNISTER |
| Credential | COTA |
| Practice Address |
1018 W Main St Lebanon TN 37087-3302 |
| Mailing Address |
1616 W Main St Lebanon TN 37087-3100 |
| Practice Telephone | 6154665200 |
| Practice Fax Number | 6154665206 |
| Mailing Telephone | 6154490990 |
| Mailing Fax Number | 6154490970 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 808 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE, TN | 808 | 01 |
| Street Address |
1018 W MAIN ST |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261118 | Oleg Urban | Physical Therapist | 1018 W Main St, Lebanon, TN 37087-3302 | 2005-08-04 |
| 1568787380 | Stephen Lee Penick | Occupational Therapist | 1018 W Main St, Lebanon, TN 37087-3302 | 2010-04-05 |
| 1902039563 | Jennifer Leigh Davis | Physical Therapy Assistant | 1018 W Main St, Lebanon, TN 37087-3302 | 2009-08-31 |
| 1730215856 | Diane Gloria Pretorius | Physical Therapist | 1018 W Main St, Lebanon, TN 37087-3302 | 2007-02-25 |
| 1396737128 | Tennessee Orthopedics Pt Clinic | Physical Therapist | 1018 W Main St, Lebanon, TN 37087-3302 | 2005-08-18 |
| 1821099292 | Frank B Duchesne IIi | Physical Therapist | 1018 W Main St, Lebanon, TN 37087-3302 | 2005-08-09 |
| 1720089196 | Gretchen Dene Etheredge | Physical Therapist | 1018 W Main St, Lebanon, TN 37087-3302 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595905 | Amber Rae Horn | Occupational Therapy Assistant | 9 Palm Ln, Lebanon, PA 17042-9118 | 2018-10-30 |
| 1417406133 | Adam Biron | Occupational Therapy Assistant | 215 Bank Street Ext, Lebanon, NH 03766-1177 | 2016-09-22 |
| 1427449412 | Sharry Vetter | Occupational Therapy Assistant | 195 S 8th St Apt 2, Lebanon, OR 97355-2246 | 2015-02-11 |
| 1699110817 | Brittany Noel Fredrick | Occupational Therapy Assistant | 1120 Trudy Ct, Lebanon, OH 45036-9694 | 2013-05-01 |
| 1396044087 | Zoe Skirvin | Occupational Therapy Assistant | 40 Wolf Rd Unit 15, Lebanon, NH 03766-1944 | 2011-03-21 |
| 1326355165 | Michial William Harris | Occupational Therapy Assistant | 2849 Boardwalk Ave, Lebanon, MO 65536-4476 | 2010-08-31 |
| 1669635025 | Cheri May Walton | Occupational Therapy Assistant | 1001 N Grant St, Lebanon, IN 46052-1944 | 2008-07-07 |
| 1770797102 | Nicole M Lewis | Occupational Therapy Assistant | 1366 Africa Rd, Lebanon, TN 37087-7308 | 2007-05-08 |
| 1891267282 | Alexandria Nelson | Occupational Therapy Assistant | 350 S 8th St, Lebanon, OR 97355-2242 | 2018-12-22 |
| 1629544408 | Deitra Meaghan Hood | Occupational Therapy Assistant | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2018-10-18 |
| Find all providers in LEBANON | ||||
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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.