Andrea Bunch Hayden, OTRL
Individual provider Active NPI Occupational Therapist · Smithfield, VA
NPI 1043431083 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1043431083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119003743 (VA)
- Practice address
- 203 Sunrise Bluff LN
Smithfield, VA 23430-2319 - Phone
- (757) 537-3002
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003743 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play to Grow PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119003743 | VA | Yes |
Addresses
Primary practice location
203 Sunrise Bluff LN
Smithfield, VA 23430-2319
Mailing address
203 Sunrise Bluff LN
Smithfield, VA 23430-2319
Phone (757) 537-3002
Other providers in Smithfield, VA
- Harris Chiropractic Clinic of Smithfield
- Andy Trent Harris
- Kenya Harris
- Wanda Lacher Harris
- Eleanor Hawkins
- Healing Roots & Co
- Helping Hands Facilitators, LLC
- Paytress Hill
- Scott W Hines
- Lynne Hodges
All providers in Smithfield, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.