Devanna Leigh Frye, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Ranger, WV
NPI 1356027684 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1356027684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- C2229 (WV)
- Practice address
- 2507 McClellan Hwy
Ranger, WV 25557-7538 - Phone
- (681) 204-9900
- NPI assigned
- Jun 22, 2023
- 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 |
|---|---|---|---|
| C2229 | WV | MD | Occupational Therapy Assistant |
| 1053 | WV | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1053 | WV | |
| Occupational Therapy Assistant | 224Z00000X | C2229 | WV | Yes |
Addresses
Primary practice location
2507 McClellan Hwy
Ranger, WV 25557-7538
Mailing address
2507 McClellan Hwy
Ranger, WV 25557-7538
Phone (681) 204-9900
Other providers in Ranger, WV
All providers in Ranger, WV · Occupational Therapy Assistant 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 Jun 22, 2023. 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.