Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM RAY BROCKETT
ActiveTIM RAY BROCKETT is a Pediatric Occupational Therapist healthcare provider located in CROSSVILLE, Tennessee. NPI 1093223182 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · CROSSVILLE, TN
Registration Details
- NPI Number
- 1093223182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2018 (8.6089062993649 yrs)
- Last Updated
- May 19, 2025
- Licenses
-
OTA16207 (FL)OT22381 (FL)7758 (TN)
Practice Information
- Address
-
56 S MAIN STCROSSVILLE, TN, 385554520Browse TN providers · Browse ZIP 38555
- Phone
- 4408122853
- Fax
- 9317079474
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.