Individual provider Active NPI

Denise Grace White, COTA/L

  • Occupational Therapy Assistant
  • Danville, VA
National Provider Identifier
1790526309
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131000699 Issued in VA
Practice address
2344 Riverside Dr
Danville, VA 24540-4212
Phone
(434) 791-3800
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131000699 VA Primary

Addresses

Primary practice location

2344 Riverside Dr
Danville, VA 24540-4212

Mailing address

317 Military Dr
Chatham, VA 24531-4648
Phone (434) 728-0094

Other practice location 1

100 Rorer St
Chatham, VA 24531-5455
Phone (434) 432-0471

Other practice location 2

508 Rison St
Danville, VA 24541-2457
Phone (434) 799-4540

Other names 1

  • Denise Ann Ross Former name

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

State licenses

LicenseStateTypeSpecialty
0131000699VAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1790526309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MILITARY DR",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245314648",
            "telephone_number": "434-728-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 RIVERSIDE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404212",
            "telephone_number": "434-791-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rorer St",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "VA",
            "postal_code": "245315455",
            "country_code": "US",
            "telephone_number": "434-432-0471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 Rison St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245412457",
            "country_code": "US",
            "telephone_number": "434-799-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DENISE",
        "middle_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ROSS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.