Active NPI
Christie Deneise Hurley, COTA/L, BA
- Occupational Therapy Assistant
- Radford, VA
National Provider Identifier
1710170212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131000398
- Practice address
- 700 Randolph St
Radford, VA 24141-2430 - Phone
- (540) 633-3708
- NPI assigned
- Aug 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1067502 | ||
| Occupational Therapy Assistant | 224Z00000X | 0131000398 | VA | Primary |
Addresses
Primary practice location
700 Randolph St
Radford, VA 24141-2430
Mailing address
1420 Mill Iron Rd
Goodview, VA 24095-2940
Phone (540) 355-8909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131000398 | Other | VA | VIRGINIA BOARD OF MEDICINE |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131000398 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1710170212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 MILL IRON RD",
"city": "GOODVIEW",
"state": "VA",
"postal_code": "240952940",
"telephone_number": "540-355-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 RANDOLPH ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241412430",
"telephone_number": "540-633-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "CHRISTIE",
"middle_name": "DENEISE",
"credential": "COTA/L, BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": "1067502",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131000398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF MEDICINE",
"identifier": "0131000398",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Radford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.