Donna Marie Childress, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

135586 Issued in KY

Practice address

73 Piedmont Dr
Whitesburg, KY 41858-7668

Phone

(606) 633-3167

NPI assigned

Oct 17, 2013

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1316375983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242560846",
            "telephone_number": "276-865-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PIEDMONT DR",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587668",
            "telephone_number": "606-633-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000473",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "135586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Butler, PHARMD
• Dustin Scott Campbell, M.D.
• Amy Casebolt, PHARMD
• Padubidri S Chandrashekar, M.D.
• Ebenezer Chelladurai, PT
• Megan R. Cole, APRN
• Anita Carol Collins -McCullum, APRN
• Afton Nicole Collins
• Mary J. Collins, APRN
• Ricky E Collins, MD

• Occupational Therapy Assistant in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.