Individual provider Active NPI

Cindy Jo Newsom, OTR

  • Pediatric Occupational Therapist
  • Franklin Furnace, OH
National Provider Identifier
1801807185
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
KY-RO952 Issued in KY
Practice address
4014 Big Pete Rd
Franklin Furnace, OH 45629-3200
Phone
(740) 935-0683
Fax
(740) 355-6829
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003086 OH
Pediatric Occupational Therapist 225XP0200X 1283 WV
Pediatric Occupational Therapist 225XP0200X KY-RO952 KY Primary

Addresses

Primary practice location

4014 Big Pete Rd
Franklin Furnace, OH 45629-3200

Mailing address

PO Box 251
Wheelersburg, OH 45694-0251
Phone (740) 935-0685

Other identifiers 1

IdentifierTypeStateIssuer
1174993901OtherNPI

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
003086OHMDOccupational Therapist
KY-RO952KYMDPediatric Occupational Therapist
1283WVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Rehab & Vocational Services, LLC Pediatrics PastSince Sep 24, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1801807185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940251",
            "telephone_number": "740-935-0685",
            "fax_number": "740-205-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 BIG PETE RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456293200",
            "telephone_number": "740-935-0683",
            "fax_number": "740-355-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "CINDY",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "003086",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WV",
            "license": "1283",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "KY-RO952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174993901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Furnace, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.