Casey Lauren Petefish, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001076 Issued in VA

Practice address

3935 Sunnyside Dr
Harrisonburg, VA 22801-2328

Phone

(540) 568-8311

NPI assigned

Jan 10, 2013

Last updated

Jan 16, 2013By 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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1568709541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 SUNNYSIDE DR",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SUNNYSIDE DR",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012328",
            "telephone_number": "540-568-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETEFISH",
        "first_name": "CASEY",
        "middle_name": "LAUREN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Skye Pennington, LPC
• People Places, Inc
• Zack T. Perdue III, M.D.
• Thomas Steven Perry, DPT
• Benjamin Patrick Persons, MD
• Joshua L Petersheim, DPT
• Connie Lee Peterson, ATC, PHD
• Jumar D Peterson, M.ED
• Kevin S Petit, PT
• Emily Petkus

• Occupational Therapy Assistant in Harrisonburg, VA
• Providers in Harrisonburg, 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 Jan 16, 2013; 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.