Nadele McCarty, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Russell, KY

NPI 1285451625 · NPPES record last updated Sep 25, 2024

Key facts

NPI
1285451625
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
C2489 (WV)
Practice address
1530 Diederich Blvd Apt 5
Russell, KY 41169-1668
Phone
(606) 585-3085
NPI assigned
Sep 25, 2024
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

LicenseStateTypeSpecialty
C2489WVMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X C2489 WV Yes

Addresses

Primary practice location

1530 Diederich Blvd Apt 5
Russell, KY 41169-1668

Mailing address

1530 Diederich Blvd Apt 5
Russell, KY 41169-1668
Phone (606) 585-3085

Other names

  • Nadele Bertus Former name

Other providers in Russell, KY

All providers in Russell, KY · Occupational Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.