Provider Demographics
NPI:1942339791
Name:MEHORCZYK, JOY (OTR/L MOT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:MEHORCZYK
Suffix:
Gender:F
Credentials:OTR/L MOT
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:NIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:171 ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6683
Mailing Address - Country:US
Mailing Address - Phone:615-406-5869
Mailing Address - Fax:
Practice Address - Street 1:171 ABBEY RD
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TENNESSEE
Practice Address - Zip Code:37066
Practice Address - Country:UM
Practice Address - Phone:615-406-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TN4174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator