Kristin Bryant, OTR
Individual provider Active NPI Occupational Therapist · Ruckersville, VA
NPI 1154722056 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1154722056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119006438
- Practice address
- 197 Spring Oaks LN
Ruckersville, VA 22968-3643 - Phone
- (434) 953-1477
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231128000476 | VA | Practitioner - Occupational Therapist in Private Practice | 7315395621 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current |
Accepting new patients |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
343 Archer Ave
Charlottesville, VA 22911
Phone (434) 255-0996
3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 0119006438 | Yes |
Addresses
Primary practice location
197 Spring Oaks LN
Ruckersville, VA 22968-3643
Mailing address
197 Spring Oaks LN
Ruckersville, VA 22968-3643
Phone (434) 953-1477
Other providers in Ruckersville, VA
- Cranston Christopher Blakey
- Brooke Arledge Bostic
- Brian P Bouton
- Nathan Edward Braginetz
- Laurie Ann Breeding
- Camden Brown D.M.D., M.S., P.C.
- Melanie E Canada
- Capstone HME Inc
- Carol L Nelson, LCSW, LLC
- Kaitlynn Michelle Carter
All providers in Ruckersville, 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 Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.