Individual
TIM RAY BROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 S MAIN ST, CROSSVILLE, TN 38555-4520
(440) 812-2853
(931) 707-9474
Mailing address
56 S MAIN ST, CROSSVILLE, TN 38555-4520
(440) 812-2853
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
OTA16207
FL
225X00000X
Occupational Therapist
OT22381
FL
225XP0200X
Pediatric Occupational Therapist
Primary
7758
TN
Other
Enumeration date
01/11/2018
Last updated
05/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us