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

Individual provider Occupational Therapy Assistant · NPI 1093716516

Jill Renee Bannister, COTA is an Occupational Therapy Assistant in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1018 W Main St
Lebanon, TN 37087-3302
Phone: (615) 466-5200
Fax: (615) 466-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 808 (TN)

Record details

NPI number1093716516
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESSeptember 13, 2007

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