Andrea Cline Lafferty

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119-008795 Issued in VA

Practice address

8452 Hessian Hill CT
Bristow, VA 20136-1166

Phone

(304) 228-5444

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Millstone Therapy Group LLC

  • Occupational Therapist
  • Bristow, VA
  • NPI 1174246417
  NPD Authorized official

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1093374209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8452 HESSIAN HILL CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361166",
            "telephone_number": "304-228-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8452 HESSIAN HILL CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361166",
            "telephone_number": "304-228-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 Shadowdale Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770418718",
            "country_code": "US",
            "telephone_number": "713-466-6872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "ANDREA",
        "middle_name": "CLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119847",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-008795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Kelly IV
• Parveen Kelly, CPM, LM
• Brenda Lee Knighton, IBCLC
• Kathryn Leah Knodt, PTA
• Kristen Patricia Kolumbic, LCSW
• Bryan Lewis, O.D.
• Life at Home Healthcare Services
• Cindy Lin
• Little Hands Therapy, LLC
• Rebecca Lizarraga

• Occupational Therapist in Bristow, VA
• Providers in Bristow, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.