D. SHANE FULMER (NPI# 1851355879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851355879 |
| Entity Type | Individual |
| Full Name | D. SHANE FULMER |
| Credential | O.T. |
| Practice Address |
260 Fort Sanders West Blvd Suite 110 Knoxville TN 37922-3355 |
| Practice Telephone | 8655584491 |
| Practice Fax Number | 8655584493 |
| Mailing Telephone | 8655584491 |
| Mailing Fax Number | 8655584493 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 748 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 5942420 | 01 |
| TN | 3656592 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4111141 | 01 |
| Street Address |
260 FORT SANDERS WEST BLVD SUITE 110 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790760015 | John Jay Crawford | Orthopaedic Surgery | 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2005-12-09 |
| 1760933865 | Hannah K Schmidt | Nurse Practitioner | 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2016-10-24 |
| 1528439643 | Cassandra P Loucks | Physician Assistant | 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2015-10-15 |
| 1093197394 | Katelyn Holt | Physician Assistant | 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2015-06-23 |
| 1821476672 | Katherine B Wood | Physical Therapist | 260 Fort Sanders West Blvd, Suite 110, Knoxville, TN 37922-3355 | 2015-05-13 |
| 1245644228 | Kristen Lynn Ploetze | Orthopaedic Surgery | 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2014-06-17 |
| 1245640150 | Pauline Looye-jones | Physical Therapist | 260 Fort Sanders West Blvd, Suite 110, Knoxville, TN 37922-3355 | 2014-04-30 |
| 1598185092 | Austin Davidson | Orthopaedic Surgery | 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2014-04-23 |
| 1255756094 | Benjamin Morgenegg | Physician Assistant | 260 Fort Sanders West Blvd, Knoxville, TN 37922 | 2014-03-04 |
| 1205266699 | Jennifer D Vaught | Nurse Practitioner | 260 Fort Sanders West Blvd, Building #6, Knoxville, TN 37922-3355 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| 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 |
|---|---|---|---|---|
| 1306454558 | Legacy Healthcare Services Inc | Occupational Therapist | 8458 Gleason Dr, Knoxville, TN 37919-5482 | 2020-07-14 |
| 1144864604 | Jason David Hoffmeister I | Occupational Therapist | 3023 Port Royal Ln, Knoxville, TN 37938-4693 | 2019-10-28 |
| 1942855762 | Rebecca Smith | Occupational Therapist | 7103 Terry Dr, Knoxville, TN 37924-2359 | 2019-08-08 |
| 1083177034 | Kelly Marie Thompson | Occupational Therapist | 401 S Gallaher View Rd Apt 210, Knoxville, TN 37919-5334 | 2019-04-08 |
| 1457816043 | Max Potential Bearden, LLC | Occupational Therapist | 8239 Kingston Pike, Knoxville, TN 37919-5448 | 2019-02-07 |
| 1356805311 | Motion Pt Group Tennessee LLC | Occupational Therapist | 101 E 5th Ave, Knoxville, TN 37917-7376 | 2019-01-24 |
| 1396219333 | Emily Sweet | Occupational Therapist | 4312 Rare Earth Dr, Knoxville, TN 37938-2983 | 2019-01-13 |
| 1740752963 | Colleen M Oakley | Occupational Therapist | 811 Tanner Ln, Knoxville, TN 37919-4449 | 2018-12-28 |
| 1952879728 | Independent Physical Therapy | Occupational Therapist | 2407 Callahan Dr, Knoxville, TN 37912-1009 | 2018-11-09 |
| 1295228666 | Susan C Carnahan Lake Bum Delivery | Occupational Therapist | 1454 Francis Station Dr, Knoxville, TN 37909-1123 | 2018-06-11 |
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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.