FULL SPECTRUM PEDIATRIC THERAPY NPI 1679987606

NPI Information

  • NPI: 1679987606
  • Provider Name: FULL SPECTRUM PEDIATRIC THERAPY
  • Classification: Occupational Therapy Assistant - 224Z00000X
  • Entity Type: Organization
  • Address: 298 WARFIELD BLVD STE C
    CLARKSVILLE, TN
    ZIP 37043
  • Phone: (931) 906-0440

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NPI Details

FULL SPECTRUM PEDIATRIC THERAPY is an occupational therapy assistant in Clarksville, TN. The provider is an occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. FULL SPECTRUM PEDIATRIC THERAPY NPI is 1679987606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

298 WARFIELD BLVD STE C
CLARKSVILLE, TN
ZIP 37043-828
Phone: (931) 906-0440

The provider's authorized official is Lana Kareen Broome .
The authorized official title is Occupational Therapist/owner and has the following contact phone number (931) 906-0440.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 6/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224Z00000XOccupational Therapy Assistant2324TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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