Etta Renee Rich
NPI 1902437478ActiveIndividual· Occupational Therapist· Rogersville, TN
Occupational Therapist with Jordan C Black, practicing in Rogersville, Tennessee. Medicare paid $32,512 for services to 22 patients in 2024.
Overview
| NPI | 1902437478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 3, 2020 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
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 | 22 |
|---|---|
| Services billed | 2,176 across 17 procedure codes |
| Paid by Medicare | $32,512 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Jordan C BlackMorristown, TN · 23 clinicians
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