Laurie Ann Breeding, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119001952 Issued in VA

Practice address

140 Buck Dr
Ruckersville, VA 22968-3157

Phone

(434) 990-0192

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laurie Ann Wilgus 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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831217413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BUCK DR",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683157",
            "telephone_number": "434-990-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BUCK DR",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683157",
            "telephone_number": "434-990-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "WILGUS",
            "middle_name": "ANN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Brian P Bouton, M.D.
• Nathan Edward Braginetz, PHARMD
• Kristin Bryant, OTR
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• Melanie E Canada, M.S,, CCC-SLP
• Capstone HME Inc
• Carol L Nelson, LCSW, LLC

• Occupational Therapist in Ruckersville, VA
• Providers in Ruckersville, VA by specialty
• Occupational Therapist in Virginia

• 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.