Talya Purdon, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131000906 Issued in VA

Practice address

5519 Slater Street
Fredericksburg, VA 22407

Phone

(715) 781-4309

NPI assigned

Mar 18, 2016

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

• Talya Etheridge Professional 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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1073974945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 SLATER STREET",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 SLATER STREET",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "715-781-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDON",
        "first_name": "TALYA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALYA",
            "last_name": "ETHERIDGE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ariana Puello
• Jennifer Pukish, M.D.
• Sara Ann Pulliam, FNP-C
• Pulmonary Associates of Fredericksburg Inc
• Linda M Purcell, DO
• Pure Health and Wellness Treatment Center, PLLC
• Purpose Driven Transitional Housing LLC
• PW Transportation
• Peter Steven Pyatak, M.D.
• Carolyn Ann Pyle-Duke, RN

• Occupational Therapy Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.