Provider Demographics
NPI:1538051073
Name:COGGIN, REBECCA ANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:COGGIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6938 ASH HILL LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-1641
Mailing Address - Country:US
Mailing Address - Phone:985-705-9526
Mailing Address - Fax:
Practice Address - Street 1:1102 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3826
Practice Address - Country:US
Practice Address - Phone:901-337-7524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist