Active NPI
Tammy R Seymour, COTA
- Occupational Therapy Assistant
- Virginia Beach, VA
National Provider Identifier
1720193840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131000548
- Practice address
- 818 Newtown Rd
Virginia Beach, VA 23462 - Phone
- (757) 473-8016
- Fax
- (757) 473-3580
- NPI assigned
- Aug 20, 2006
- 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 | |||
| Occupational Therapy Assistant | 224Z00000X | 0131000548 | VA | Primary |
Addresses
Primary practice location
818 Newtown Rd
Virginia Beach, VA 23462
Mailing address
818 Newtown Rd
Virginia Beach, VA 23462
Phone (757) 473-8016
Other practice location 1
928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601
Phone (757) 395-1975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4980093 | Medicaid | VA |
Other names 1
- Tammy Rachel Bennett
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 |
|---|---|---|---|
| 0131000548 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1720193840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-473-8016",
"fax_number": "757-473-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-473-8016",
"fax_number": "757-473-3580"
}
],
"practiceLocations": [
{
"address_1": "928 Diamond Springs Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234556601",
"country_code": "US",
"telephone_number": "757-395-1975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEYMOUR",
"first_name": "TAMMY",
"middle_name": "R",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131000548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4980093",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "BENNETT",
"middle_name": "RACHEL",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.