Active NPI
Pamela Deann Whaley, COTA/L
- Occupational Therapy Assistant
- Decatur, AL
National Provider Identifier
1255732343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2053
- Practice address
- 1350 14TH Ave SE
Decatur, AL 35601-4364 - Phone
- (257) 355-6911
- NPI assigned
- Sep 9, 2014
- Last updated
- Sep 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2053 | AL | Primary |
Addresses
Primary practice location
1350 14TH Ave SE
Decatur, AL 35601-4364
Mailing address
201 Hickory Ave SW
Cullman, AL 35055-3355
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 |
|---|---|---|---|
| 2053 | AL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1255732343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HICKORY AVE SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350553355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 14TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014364",
"telephone_number": "257-355-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "PAMELA",
"middle_name": "DEANN",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "2053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.