Harrietthall Hall Witherspoon, COTA/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

4776 Issued in NC

Practice address

630 N Fodale Ave
630 N Fodale Ave
Southport, NC 28461-3538

Phone

(910) 457-4686

NPI assigned

Mar 3, 2010

Last updated

Mar 3, 2010By 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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1740503812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N FODALE AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613538",
            "telephone_number": "910-457-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N FODALE AVE",
            "address_2": "630 N FODALE AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613538",
            "telephone_number": "910-457-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "HARRIETTHALL",
        "middle_name": "HALL",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S. Williams, DDS
• Leonard David Williams IV, D.D.S.
• Wilmington Health PLLC
• Wilmington Orthopaedic Group
• Steven Douglas Wilson, MD
• Womack Army Medical Center (Occ HLTH NSG Off-Sunny Point)
• Douglas Erick Wood, PTA
• Karen E Wood, MD
• Staci Avery Wood, RN
• Michael Wright

• Gerontology Occupational Therapist in Southport, NC
• Providers in Southport, NC by specialty
• Gerontology Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.