Colette Grace Maupin, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002755 Issued in VA

Practice address

2612 Buford Rd Ste a
North Chesterfield, VA 23235-3422

Phone

(804) 806-3933

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By 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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1447075312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCDONOUGH ST APT 217",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242285",
            "telephone_number": "571-455-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 BUFORD RD STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-806-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "COLETTE",
        "middle_name": "GRACE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Coett Matthews, PMHNP
• Melody Y Matthews, D.C.
• Samuel Matthews, LCSW
• Stella Matthews
• Maunda LLC
• Kim E. Mauro, O.D.
• Rachel Mauro, LPC
• Cameron A Mauzy, PT, DPT
• Marc Mawyer, PA-C
• Maxgio Healthcare LLC

• Occupational Therapy Assistant in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.