Active NPI
Carrie Lynn Hixson, COTA
- Occupational Therapy Assistant
- Danville, VA
National Provider Identifier
1144674730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131001678
- Practice address
- 625 Piney Forest Rd Ste 407
Danville, VA 24540-2870 - Phone
- (434) 779-7732
- NPI assigned
- Apr 20, 2016
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | PO008394 | PA | |
| Occupational Therapy Assistant | 224Z00000X | 0131001678 | VA | Primary |
Addresses
Primary practice location
625 Piney Forest Rd Ste 407
Danville, VA 24540-2870
Mailing address
1155 Calvary Rd
Alton, VA 24520-3485
Phone (434) 446-5852
Other practice location 1
2239 Briarwood Dr
Mckeesport, PA 15135
Phone (412) 932-0075
Other names 1
- Miss Carrie Lynn Sandy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO008394 | PA | MD | Occupational Therapy Assistant |
| 0131001678 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144674730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 CALVARY RD",
"city": "ALTON",
"state": "VA",
"postal_code": "245203485",
"telephone_number": "434-446-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 PINEY FOREST RD STE 407",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245402870",
"telephone_number": "434-779-7732"
}
],
"practiceLocations": [
{
"address_1": "2239 Briarwood Dr",
"address_purpose": "LOCATION",
"city": "Mckeesport",
"state": "PA",
"postal_code": "15135",
"country_code": "US",
"telephone_number": "412-932-0075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIXSON",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "PO008394",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131001678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "SANDY",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.