Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Pediatric Therapy

Organization Pediatric Occupational Therapist · NPI 1659008027

Fairview Pediatric Therapy is a Pediatric Occupational Therapist in Fairview, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

2092 Fairview Blvd Ste 103
Fairview, TN 37062-6012
Phone: (629) 250-9317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1659008027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Bruce — Occupational Therapist/Co-Owner · (615) 582-2942
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address7716 Hudlow Ct, Fairview, TN 37062-7331