IndividualActive
Raegan Willis, COTA
NPI 1669327953 · Occupational Therapy Assistant · White Pine, TN
Provider details
- NPI number
- 1669327953
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 4297 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 Laura Lee Dr
White Pine, TN 37890-3500
Phone: (865) 327-4100
Approximate (ZIP-level) locationGet directions
Mailing address
3334 Frank Morie Rd
White Pine, TN 37890-4504
Additional practice locations (1)
- 914 Industrial Park RdDandridge, TN 37725-4700Phone: (865) 397-3163
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.