Phyllis R Ross, OTR/L, CHT, CLT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

0119002028 Issued in VA

Practice address

11712 Jefferson Ave
Suite D
Newport News, VA 23606-4406

Phone

(757) 595-4880

Fax

(757) 595-4886

NPI assigned

Apr 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Hand Therapy LLCGroup PAC ID 3971607326, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pinnacle Hand Therapy LLC

  • Hand Occupational Therapist
  • Newport News, VA
  • NPI 1770699456
  Medicare reassignment Care Compare group NPD Authorized official
• Pinnacle Hand Therapy

  • Durable Medical Equipment & Medical Supplies
  • Newport News, VA
  • NPI 1184830911
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1184686453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KANAWAH RUN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932780",
            "telephone_number": "757-595-4880",
            "fax_number": "757-595-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 JEFFERSON AVE",
            "address_2": "SUITE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064406",
            "telephone_number": "757-595-4880",
            "fax_number": "757-595-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PHYLLIS",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002028",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119002028",
            "primary": true
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "VA",
            "license": "0119002028",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "VA",
            "license": "0119002028",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119002028",
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "VA",
            "license": "0119002028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008948721",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO",
            "identifier": "2101706",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "462361",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7202455",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI / GEHA",
            "identifier": "2101706",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL  HANDLERS BENIFITS",
            "identifier": "2062541",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00204753",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETRI SYSTEMS",
            "identifier": "70510",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Lee Ross-Cleary, NP
• Bettina Guynn Ross, LCSW
• Chantera Janiece Ross
• Glenn Stuart Ross, M.D.
• Mark Andrew Ross, MD
• Samantha Breton Ross, LMFT
• Simone Denise Rouse, ED.S
• Christian Rowland, PT, DPT
• Royal Engagements LLC
• Royal Families House LLC

• Hand Occupational Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Hand Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.