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

LicenseStateTypeSpecialty
0119002807VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Richmond, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.