Misty Dawn Collins, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A4901 Issued in KY

Practice address

60 Phillips Branch Rd
Phelps, KY 41553-9061

Phone

(606) 456-8725

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By 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 2

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1740688332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PHILLIPS BRANCH RD",
            "city": "PHELPS",
            "state": "KY",
            "postal_code": "415539061",
            "telephone_number": "606-456-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PHILLIPS BRANCH RD",
            "city": "PHELPS",
            "state": "KY",
            "postal_code": "415539061",
            "telephone_number": "606-456-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "A4901",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia Ann Coleman
• Daryll Hamilton, OT
• Geraline Hatfield, APRN,BC
• Hilltop Primary Care, Inc
• Hilltop Primary Care, Inc (Hilltop Pharmacy)
• Integrated Wound Care Kentucky PLLC

• Occupational Therapy Assistant in Phelps, KY
• Providers in Phelps, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.