Andria Leigh Connor, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008061 Issued in MI

Practice address

3820 Valley Dr
Metamora, MI 48455-9714

Phone

(904) 947-1919

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Andria Leigh Herd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1003669755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 VALLEY DR",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 VALLEY DR",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559714",
            "telephone_number": "904-947-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "ANDRIA",
        "middle_name": "LEIGH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRIA",
            "last_name": "HERD",
            "middle_name": "LEIGH",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Elizabeth Bailey
• Ashley Baker
• Bolton Brook Manor
• Michael John Boyd
• Jordan V Buscemi, PHARMACY STUDENT
• Eric E Craig, LLP
• Jeannie Craig, TLLP, LLPC
• Dermatology Center of Oxford, P.C.
• Ariana Donahue, MA TLLP
• Daniel Dallas Dorman, D.D.S., P.C.

• All providers in Metamora, MI
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.