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NPI 1164908612ActiveOrganization· Occupational Therapist· Cleveland, TN
Occupational Therapist in Cleveland, Tennessee, registered in NPPES in July 2018. The authorized official on file is Kendra Renea Rutledge, OTD, OTR/L, Occupational Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164908612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2018 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 4209 | 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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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