Provider Demographics
NPI:1609170943
Name:HOPTON, TAMMY JANE (OTR)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:JANE
Last Name:HOPTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:J
Other - Last Name:TANKERSLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-954-7408
Practice Address - Street 1:190 OLD ORCHARD SQ
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-8172
Practice Address - Country:US
Practice Address - Phone:706-273-3131
Practice Address - Fax:706-273-3133
Is Sole Proprietor?:No
Enumeration Date:2010-12-30
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4018225XP0019X
GA003245225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation