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

Dr. Justin Oran McDivitt, OTD, R/L

Individual provider Occupational Therapist · NPI 1053613802

Dr. Justin Oran McDivitt, OTD, R/L is an Occupational Therapist in Private Practice in Cookeville, Tennessee. Qualified in 2009, 17 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
17
Licensed in
TN
In the registry since
2010
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

815 S Walnut Ave
Cookeville, TN 38501-5956
Phone: (931) 646-7216
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4071 (TN)

Record details

NPI number1053613802
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , R/L
Sole proprietorYes
NPI enumeratedNovember 30, 2010
Last updated in NPPESNovember 30, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cookeville