Jamielynn M Bodman, OTR/L
Individual provider Active NPI Occupational Therapist · Chester, VA
NPI 1649877341 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1649877341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119007686 (VA)
- Practice address
- 3501 Festival Park PLZ
Chester, VA 23831-4449 - Phone
- (804) 930-8280
- Fax
- (804) 930-8101
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119007686 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007686 | VA | Yes |
Addresses
Primary practice location
3501 Festival Park PLZ
Chester, VA 23831-4449
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Other providers in Chester, VA
- Blooming Care Service
- Blossom Health Services LLC
- Blossom Heart Behavioral Health Services LLC
- Michon Blowe
- Edward Kwodwo Boakye
- Anastasia Dimitria Bogachov
- Bon Secours St Francis Medical Center LLC
- Bon Secours St Francis Medical Center LLC
- Bon Secours St. Francis Medical Center Inc
- Bon Secours St. Francis Medical Center LLC
All providers in Chester, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.