Justin Oran McDivitt, OTD, R/L
NPI 1053613802ActiveIndividual· Occupational Therapist· Cookeville, TN
Occupational Therapist (OTD, R/L) with Healthpro Heritage Rehab and Fitness LLC, practicing in Cookeville, Tennessee. Medicare paid $30,804 for services to 33 patients in 2024.
Overview
| NPI | 1053613802 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD, R/L |
| Sole proprietor | Yes |
| NPI issued | Nov 30, 2010 |
| Last updated in NPPES | Nov 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 4071 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 1,518 across 9 procedure codes |
| Paid by Medicare | $30,804 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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All 35 occupational therapists in Cookeville · All occupational therapists in Tennessee