Andrea Tennille Fizzano

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119005078 Issued in VA

Practice address

25 Bernard Rd
Rocky Mount, VA 24151-6614

Phone

(540) 483-5138

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1437662996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 ANGLE PLANTATION RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515634",
            "telephone_number": "276-340-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BERNARD RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241516614",
            "telephone_number": "540-483-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIZZANO",
        "first_name": "ANDREA",
        "middle_name": "TENNILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Leigh Everett
• Family Preservation Services, Inc.
• Barbara Aileen Fasick, QMHP-A
• Leslie Firebaugh, LPC
• Michael Dale Fitzgerald Jr.
• Monica A Flora, LPC
• Kimberly Florio, PHARMD
• Tosha Marie Foley, LPC
• Cathy Zoe Ford, DDS
• Mallory Fralin, PHARMD

• Occupational Therapist in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.