Active NPI
Hattie Frazier, COTA/L
- Occupational Therapy Assistant
- Hurricane, WV
National Provider Identifier
1508193749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- C1728
- Practice address
- 4000 Out Look Dr
Hurricane, WV 25526-9467 - Phone
- (304) 757-4102
- NPI assigned
- Nov 9, 2009
- Last updated
- Nov 9, 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 Therapy Assistant | 224Z00000X | C1728 | WV | Primary |
Addresses
Primary practice location
4000 Out Look Dr
Hurricane, WV 25526-9467
Mailing address
102 Beechwood Ave
Winfield, WV 25213-9557
Phone (304) 552-1412
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1728 | WV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1508193749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BEECHWOOD AVE",
"city": "WINFIELD",
"state": "WV",
"postal_code": "252139557",
"telephone_number": "304-552-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 OUT LOOK DR",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269467",
"telephone_number": "304-757-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "HATTIE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WV",
"license": "C1728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
- Kelly Lynn Franke
- Brittany Danielle Franklin, MSW, LGSW
- Jodi Frantz, M.A.CCC-S
- Brandi Daneen Frazier, PTA
- Hannah Jo Frazier, DPT
- Jacqueline Frazier, M.A.-CCC-S
- Fruth Pharmacy Inc (Fruth Pharmacy 10)
- Hannah Allison Watts Fulks, APRN
- Generations R.C., Inc. (Generations Physical Therapy)
- Generations R.C., Inc. (Phys. Ctr. of Scott-Teays)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.