Active NPI
Jeanette Walker Frazier, OTR/L
- Occupational Therapist
- Martinsville, VA
National Provider Identifier
1407082431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119003863
- Practice address
- 1313 Hidden Valley Dr
Martinsville, VA 24112-8406 - Phone
- (276) 666-7590
- Fax
- (276) 666-7593
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119003863 | VA | Primary |
Addresses
Primary practice location
1313 Hidden Valley Dr
Martinsville, VA 24112-8406
Mailing address
1313 Hidden Valley Dr
Martinsville, VA 24112-8406
Phone (276) 666-7590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003863 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1407082431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 HIDDEN VALLEY DR",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241128406",
"telephone_number": "276-666-7590",
"fax_number": "276-666-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 HIDDEN VALLEY DR",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241128406",
"telephone_number": "276-666-7590",
"fax_number": "276-666-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "JEANETTE",
"middle_name": "WALKER",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119003863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- For Every Change Support Services, LLC
- Kristi Rochelle Ford, RN
- Michael Edward Ford, O.D.
- Amanda Catherine Frazier, PT
- Free Medical Clinic of Martinsville & Henry County
- Friedrichs Family Eye Center PC (Friedrichs Family Eye Center Optometry)
- Gray W. Friedrichs, O.D.
- Susan Lynn Frye-Yarbrough
- Tina Fulcher, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.