Laurie Rene Adcock, OTR/L
Individual provider Active NPI Occupational Therapist · Richmond, VA
NPI 1295822211 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295822211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119002807 (VA)
- Practice address
- 2924 Brook Rd
Richmond, VA 23220-1215 - Phone
- (804) 321-7474
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|
| 0119002807 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002807 | VA | Yes |
Addresses
Primary practice location
2924 Brook Rd
Richmond, VA 23220-1215
Mailing address
1821 Sidney CT
Glen Allen, VA 23059-8022
Phone (804) 264-1777
NPI Registry JSON
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295822211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 SIDNEY CT",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230598022",
"telephone_number": "804-264-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 BROOK RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201215",
"telephone_number": "804-321-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADCOCK",
"first_name": "LAURIE",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Merawi Adane
- Adaptive Accommodations Residential
- Brittany Adcock
- Charles R Adcock
- Christopher Scott Adcock Jr.
- Addiction Medicine Consultants of Richmond LLC
- Antionique C Addison
- Kristin M. Addison
- Addus Healthcare Inc
- Addvantage, PLLC
All providers in Richmond, 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 Jul 8, 2007. 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.