Healthcare Provider Details

I. General information

NPI: 1912846197
Provider Name (Legal Business Name): FAITH MCDERMET OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 LONGFORD DR STE 4
SPRING HILL TN
37174-6203
US

IV. Provider business mailing address

1047 BRIXWORTH DR
THOMPSONS STATION TN
37179-5353
US

V. Phone/Fax

Practice location:
  • Phone: 615-241-0122
  • Fax:
Mailing address:
  • Phone: 904-263-2430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8593
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: