Roots Pediatric Occupational Therapy Llc is a
Occupational Therapist - Pediatrics based in Greenback, Tennessee. Roots Pediatric Occupational Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
673 Stone Dr, Greenback, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(517) 795-4859.
NPI number for Roots Pediatric Occupational Therapy Llc is 1881559342 and their current mailing address is 673 Stone Dr, Greenback, Tennessee. Roots Pediatric Occupational Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881559342.
Healthcare Provider's Profile
| Full Name | Roots Pediatric Occupational Therapy Llc |
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| Type | Facility |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 673 Stone Dr, Greenback, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881559342
- Provider Enumeration Date: 12/17/2025
- Last Update Date: 12/17/2025
Medical Identifiers
Medical identifiers for Roots Pediatric Occupational Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881559342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | 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. Roots Pediatric Occupational Therapy Llc 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 |
|---|
Roots Pediatric Occupational Therapy Llc
673 Stone Dr,
Greenback, TN 37742-4121
Ph: (517) 795-4859 | Roots Pediatric Occupational Therapy Llc
673 Stone Dr,
Greenback, TN 37742-4121
Ph: (517) 795-4859 |
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