Mary Kate Riffle
Individual provider Active NPI Occupational Therapist · Davis, WV
NPI 1306457429 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1306457429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2094 (WV)
- Practice address
- 1085 Canaan Heights Rd
Davis, WV 26260-8007 - Phone
- (304) 851-6643
- NPI assigned
- Aug 12, 2020
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainside Behavior Analysis Services, LCC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2094 | WV | Yes |
Addresses
Primary practice location
1085 Canaan Heights Rd
Davis, WV 26260-8007
Mailing address
1085 Canaan Heights Rd
Davis, WV 26260-8007
Phone (304) 851-6643
Other providers in Davis, WV
- Jacey Parsons
- Stephanie Poling
- Jennifer E Randall
- Theresa Virginia Reel
- Hilda Rexrode
- Rachel Shrader
- Autumn Shreve
- Elizabeth Simons
- Sarah Kae Smith
- Solacium Allredge Academy
All providers in Davis, WV · Occupational Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. 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.