Individual
CAROLYN E PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7750 DANNAHER DR, POWELL, TN 37849-4039
(865) 512-1140
(865) 512-1141
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510678
—
TN
01
—
4211295
BLUECROSS BLUESHIELD
TN
01
—
P00746470
RAILROAD MEDICARE
—
Enumeration date
11/04/2008
Last updated
01/15/2026
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