Kacie Demetros, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119004590 Issued in VA

Practice address

121 Old Wagon Rd
Winchester, VA 22602-6912

Phone

(607) 846-5343

NPI assigned

Mar 23, 2015

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 names 1

• Ms. Kacie Eskew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1669866166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OLD WAGON RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026912",
            "telephone_number": "607-846-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 OLD WAGON RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026912",
            "telephone_number": "607-846-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETROS",
        "first_name": "KACIE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACIE",
            "last_name": "ESKEW",
            "prefix": "MS.",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Dehaven, PHARM.D.
• Michael J Deiboldt, OD
• Sarah Michelle Deluca, PA-C
• Alex Demarco, DPT
• Margaret M Demayo, LCSW
• Olga P Demina, M.D.
• Lauren Demmon, MS CCC-SLP
• Shea Adam Dempsey, PA-C
• Eric Anderson Dempster, P.T.A
• Kathleen Gale Dempster, PHYSICAL THERAPIST

• All providers in Winchester, VA
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.