MS. TRISTEN GABRIELLE WILLIS (NPI# 1295258879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295258879 |
| Entity Type | Individual |
| Full Name | MS. TRISTEN GABRIELLE WILLIS |
| Credential | COTA |
| Practice Address |
765 Bert Johnston Ave Covington TN 38019-2414 |
| Mailing Address |
1690 Tate Rd Drummonds TN 38023-7408 |
| Practice Telephone | 9014750027 |
| Mailing Telephone | 9018717324 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2616 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
765 BERT JOHNSTON AVE |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861456469 | Covington Care Nursing and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 765 Bert Johnston Ave, Covington, TN 38019 | 2006-04-12 |
| 1073990966 | Alexandra Claire Campbell | Physical Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2015-04-30 |
| 1508209719 | Alyssa Marie Davis | Occupational Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2013-04-08 |
| 1104151331 | Liza M Goossens | Physical Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2009-10-06 |
| 1649438557 | Tracey Lee Duncan | Occupational Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2008-05-28 |
| 1508024720 | Amy Sims Carlisle | Physical Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2008-05-23 |
| 1356564637 | David Aron Teska | Physical Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2007-04-11 |
| 1437235363 | Kerry Kelley Williams | Occupational Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2006-10-31 |
| 1780767475 | Debra Mclemore Duffy | Specialist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| 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 |
|---|---|---|---|---|
| 1982246062 | Lexie Bordelon Tuminski | Occupational Therapy Assistant | 78352 Highway 1082, Covington, LA 70435-4602 | 2019-10-10 |
| 1366910002 | India Ganaway | Occupational Therapy Assistant | 85 Serena Ct, Covington, GA 30016-7330 | 2018-11-12 |
| 1720596448 | Linda Mae Dill | Occupational Therapy Assistant | 213 S High St, Covington, OH 45318-1162 | 2018-01-16 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1992018733 | Candace Lue Hutts | Occupational Therapy Assistant | 1600 Liberty St, Covington, IN 47932-1715 | 2010-07-21 |
| 1619297538 | Kirk Joseph Collins | Occupational Therapy Assistant | 1600 Liberty St, Covington, IN 47932-1715 | 2010-06-02 |
| 1437235124 | Rosa Lynn Norvell | Occupational Therapy Assistant | 1992 Highway 51 S, Covington, TN 38019-3623 | 2006-10-27 |
| 1457377756 | Heidi Colliander | Occupational Therapy Assistant | 17700 Se 272nd St, Covington, WA 98042-4951 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1720685613 | Danielle N Hopkins | Occupational Therapy Assistant | 3107 Best Rd, Maryville, TN 37803-2647 | 2020-10-05 |
| 1538775507 | Kayla Renea Ruppe | Occupational Therapy Assistant | 116 Cumberland Street, Wartburg, TN 37887 | 2020-09-16 |
| 1114547569 | Jessica Michelle Trigueiro | Occupational Therapy Assistant | 2060 Durhamville Rd, Ripley, TN 38063-8434 | 2020-04-24 |
| 1326668195 | Taylor Winstead | Occupational Therapy Assistant | 1251 Wesley Dr Ste 141, Memphis, TN 38116-6443 | 2020-04-22 |
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1568095305 | Brianna Mckayla Bradley | Occupational Therapy Assistant | 544 Tall Trees Ln # 544, Nashville, TN 37209-5147 | 2020-02-20 |
| 1376183343 | Jessica Marie Adcock | Occupational Therapy Assistant | 2386 Fallingwater Ln Apt 304, Cordova, TN 38016-7684 | 2020-01-08 |
| 1396382610 | Jason Pack | Occupational Therapy Assistant | 9022 Richfield Ln, Knoxville, TN 37924-4579 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
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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.