CAROLYN E PENDERGAST (NPI# 1497909428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497909428 |
| Entity Type | Individual |
| Full Name | CAROLYN E PENDERGAST |
| Credential | OT |
| Practice Address |
7557 Dannaher Lane Suite G30 Powell TN 37849 |
| Mailing Address |
1422 Old Weisgarber Rd Knoxville TN 37909-1293 |
| Practice Telephone | 8655121140 |
| Practice Fax Number | 8655121141 |
| Mailing Telephone | 8655584480 |
| Mailing Fax Number | 8655584481 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2017-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2468 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1510678 | 05 | |
| TN | BLUECROSS BLUESHIELD | 4211295 | 01 |
| RAILROAD MEDICARE | P00746470 | 01 |
| Street Address |
7557 DANNAHER LANE SUITE G30 |
| City | POWELL |
| State | TN |
| Zip Code | 37849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
| 1639192289 | Calley Jo Perry | Dentist | 7315 Clinton Hwy, Powell, TN 37849 | 2006-07-25 |
| Find all providers in zip 37849 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688660 | Edward Lucia | Occupational Therapist | 254 Glenworth Ct, Powell, OH 43065-9118 | 2020-04-18 |
| 1689214298 | Paige Ashley Reckner | Occupational Therapist | 3872 Attucks Dr, Powell, OH 43065-6164 | 2020-01-11 |
| 1841770989 | Nicolette A Winchester | Occupational Therapist | 8108 Jack Russell Ct, Powell, TN 37849-3078 | 2018-08-17 |
| 1710494224 | Jessica Lauren Lane | Occupational Therapist | 408 Country Run Cir, Powell, TN 37849-5428 | 2018-01-05 |
| 1457809022 | Karen P Monfort | Occupational Therapist | 8895 Shrockton St, Powell, OH 43065-9590 | 2016-09-13 |
| 1366833527 | Amy Steele | Occupational Therapist | 287 Tree Haven Ave N, Powell, OH 43065-8669 | 2015-02-10 |
| 1629479407 | Jennifer Fields | Occupational Therapist | 79 Timber Oak Ct, Powell, OH 43065-8125 | 2014-09-11 |
| 1699181057 | Cheryl Bush | Occupational Therapist | 7447 Dannaher Dr, Ste G30, Powell, TN 37849-0370 | 2014-07-07 |
| 1841613080 | Sarah Linscott | Occupational Therapist | 4241 Verbena Ln, Powell, OH 43065-7171 | 2014-01-23 |
| 1306039888 | Lisa Jane Eaton | Occupational Therapist | 507 N Clark St, Powell, WY 82435-1915 | 2007-08-20 |
| Find all providers in POWELL | ||||
Please comment or provide details below to improve the information on CAROLYN E PENDERGAST.
| 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.