Individual provider Active NPI

Cathy Leslie Petway, M.ED., OTR

  • Occupational Therapist
  • Newport News, VA
National Provider Identifier
1780776625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119000686 Issued in VA
Practice address
710 Denbigh Blvd Ste 2C
Newport News, VA 23608-4427
Phone
(757) 988-0019
Fax
(757) 988-0038
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119000686 VA Primary

Addresses

Primary practice location

710 Denbigh Blvd Ste 2C
Newport News, VA 23608-4427

Mailing address

3 Pine Lake CT
Hampton, VA 23669-1200
Phone (757) 851-7989

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0119000686VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Handling With Care Therapy Services, PLLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780776625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE LAKE CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691200",
            "telephone_number": "757-851-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DENBIGH BLVD STE 2C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084427",
            "telephone_number": "757-988-0019",
            "fax_number": "757-988-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETWAY",
        "first_name": "CATHY",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.