Active NPI
Bethany Michelle Ray, COTA
- Occupational Therapy Assistant
- Wytheville, VA
National Provider Identifier
1467628669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1071873
- Practice address
- 342 Virginia Avenue
Heartland Rehabilitationservices of Virginia-Wytheville
Wytheville, VA 24382 - Phone
- (276) 228-6200
- Fax
- (276) 228-9175
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 1071873 | Primary |
Addresses
Primary practice location
342 Virginia Avenue
Heartland Rehabilitationservices of Virginia-Wytheville
Wytheville, VA 24382
Mailing address
1403 Mill Race Lane
Heartland Rehabilitation Services of Virginia
Salem, VA 24153
Phone (540) 444-0526
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1467628669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 MILL RACE LANE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-444-0526",
"fax_number": "540-444-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 VIRGINIA AVENUE",
"address_2": "HEARTLAND REHABILITATIONSERVICES OF VIRGINIA-WYTHEVILLE",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-6200",
"fax_number": "276-228-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "BETHANY",
"middle_name": "MICHELLE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": "1071873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.