Kathy Phillips, COTA
Individual provider Active NPI Occupational Therapy Assistant · Duffield, VA
NPI 1740678465 · NPPES record last updated Jan 5, 2015
Key facts
- NPI
- 1740678465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131000119 (VA)
- Practice address
- 157 Ross Carter Blvd
Duffield, VA 24244-5116 - Phone
- (276) 431-2841
- NPI assigned
- Jan 5, 2015
- 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 |
|---|---|---|---|
| 0131000119 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131000119 | VA | Yes |
Addresses
Primary practice location
157 Ross Carter Blvd
Duffield, VA 24244-5116
Mailing address
317 Chestnut St
Church Hill, TN 37642-7168
Phone (276) 275-7986
Other providers in Duffield, VA
- Richard S Nicholas
- Jada Jocelyn Oakes
- Elizabeth Palabrica
- Zeni Matilda Gibson Peak
- Shonna Peterson
- Regional Health Resources Inc
- Regional Health Resources, Inc
- Kristi Richardson
- Ridgecrest Manor Nursing and Rehabilitation, LLC
- Saber Ridgecrest Manor
All providers in Duffield, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2015. 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.