Krystal Renee Showers, MS. OTR/L
Individual provider Active NPI Occupational Therapist · Stanleytown, VA
NPI 1255586285 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1255586285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119006148 (VA)
- Practice address
- 935 Fairystone Park Hwy
Stanleytown, VA 24168-3014 - Phone
- (276) 622-3636
- Fax
- (276) 627-0060
- NPI assigned
- Nov 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 0119006148 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O&W Enterprises | Occupational Therapist | Current |
Accepting new patients |
Locations
935 Fairystone Park Hwy
Stanleytown, VA 24168
Phone (276) 622-3636
797 Woodland Dr
Ste 102
Stuart, VA 24171
Phone (276) 694-0124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006148 | VA | Yes |
Addresses
Primary practice location
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Mailing address
797 Woodland Dr
Ste 102
Stuart, VA 24171-5132
Phone (276) 694-0124
Other providers in Stanleytown, VA
- Cathy Martin
- Morgan McPherson
- O&W Enterprises
- Mark O Okafor
- Renee E Sexton
- Caillie Smith
- Mara Strum
- Kelli A Trent
- Trevor Wade
- Kaitlyn Wood
All providers in Stanleytown, 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 20, 2024. 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.