Kimberly Charise Bryson, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Ashland, VA
NPI 1356680409 · NPPES record last updated Feb 10, 2013
Key facts
- NPI
- 1356680409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131000326 (VA)
- Practice address
- 906 Thompson St
Ashland, VA 23005-1128 - Phone
- (804) 798-3291
- NPI assigned
- Feb 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0131000326 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131000326 | VA | Yes |
Addresses
Primary practice location
906 Thompson St
Ashland, VA 23005-1128
Mailing address
4015 N Huguenot Rd
Richmond, VA 23235-1609
Phone (804) 519-6509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131000326 | Other | VA | BOARD OF MEDICINE |
| 1021312 | Other | MD | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY |
Other providers in Ashland, VA
- Christy Brown
- Christine T Brubaker
- Emory Christine Bruno
- Mariann Mendelsohn Brush
- Mikayla Alexis Bryant
- Gerard Bunnell
- Bronwyn McDaniels Burnham
- Christina Newland Bush
- Caroline Byers
- Angelique Byrd
All providers in Ashland, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2013. 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.