Ashley Clark, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Bristol, VA
NPI 1154886646 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1154886646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131001917 (VA)
- Practice address
- 846 Old Airport Rd
Bristol, VA 24201-2244 - Phone
- (276) 701-5368
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131001917 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131001917 | VA | Yes |
Addresses
Primary practice location
846 Old Airport Rd
Bristol, VA 24201-2244
Mailing address
846 Old Airport Rd
Bristol, VA 24201-2244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131001917 | Other | VA | COTA/L |
Other providers in Bristol, VA
- Chad L Westfall DDS PC
- Chin Lin Cheng
- Jennifer Chisler
- Amy Renae Chisom
- City of Bristol VA
- Erika Renea Clark
- Nathan Andrew Clemson
- Hannah Cockerham
- Miranda Cole
- Tonya Renee Coleman
All providers in Bristol, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.