Joette Pantel Thackeray, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001380 Issued in VA

Practice address

50 Wellesley Dr
Newport News, VA 23606-4046

Phone

(757) 223-5474

NPI assigned

Dec 5, 2017

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

Other names 1

• Joette Pantel Sill Former name

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1750896346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MASSELL CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WELLESLEY DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064046",
            "telephone_number": "757-223-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKERAY",
        "first_name": "JOETTE",
        "middle_name": "PANTEL",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOETTE",
            "last_name": "SILL",
            "middle_name": "PANTEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Cecilia Terrones
• Leslie Marie Terry, CNA/MA
• Terri Terry, LCMT
• Elias Tessema, M.D
• Virginia Plitt Teti, M.D.
• Krishna Mayurkumar Thakore, MD
• Parikshit Thakur Hameer, M.D, FASN, FNKF
• Emily K Thaw, DDS
• The Afya Effect Family Healthcare Services, PLLC
• The Ataveus Cash Legacy Foundation

• Occupational Therapy Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.