Kim Neczyporuk, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001063 Issued in VA

Practice address

1912 Memorial Ave
Lynchburg, VA 24501-1708

Phone

(434) 845-8765

Fax

(434) 845-8467

NPI assigned

Apr 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1447679303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MEMORIAL AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011708",
            "telephone_number": "434-845-8765",
            "fax_number": "434-845-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MEMORIAL AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011708",
            "telephone_number": "434-845-8765",
            "fax_number": "434-845-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECZYPORUK",
        "first_name": "KIM",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1811020597",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396706065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan S Neal
• Christian D. Neal, MD
• Thomas William Neal, MD
• Sameh Neamaalla
• Spencer Neaville, DO
• Makayla Dale Neel, PA-C
• Shannon Jamerson Neeley, MS, LAT, ATC
• Anne R. Neff, LPC
• Hillary Neighbors, NP-C
• Wade A Neiman, M.D.

• Occupational Therapy Assistant in Lynchburg, VA
• Providers in Lynchburg, 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 Apr 8, 2014; 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.