Active NPI
Robin Annette Raleigh, MOTR/L
- Occupational Therapist
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1203
- Practice address
- 415 Benedum Dr
Bridgeport, WV 26330-1503 - Phone
- (304) 842-9887
- Fax
- (304) 842-9888
- NPI assigned
- Oct 17, 2012
- Last updated
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1203 | WV | Primary |
Addresses
Primary practice location
415 Benedum Dr
Bridgeport, WV 26330-1503
Mailing address
415 Benedum Dr
Bridgeport, WV 26330-1503
Phone (304) 842-9887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Benedum Dr
Bridgeport, WV 26330-1503
Phone (304) 842-9887
900 Cary Shop Rd
Burkeville, VA 23922-2119
Phone (304) 842-9887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Therapy Services LLC | Current | Accepting new patients |
Locations
900 Cary Shop Rd
Burkeville, VA 23922
Phone (304) 842-9887
415 Benedum Dr
Bridgeport, WV 26330
Phone (304) 842-9887
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1043563919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 BENEDUM DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301503",
"telephone_number": "304-842-9887",
"fax_number": "304-842-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BENEDUM DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301503",
"telephone_number": "304-842-9887",
"fax_number": "304-842-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALEIGH",
"first_name": "ROBIN",
"middle_name": "ANNETTE",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.