Kortney Nicole Puryear, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002587 Issued in VA

Practice address

1100 Confroy Dr Ste 4
South Boston, VA 24592-7163

Phone

(434) 835-9007

NPI assigned

Dec 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Pediatric Therapies, Inc.

  • Pediatric Occupational Therapist
  • Danville, VA
  • NPI 1578524278
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1881461663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 TANK RD",
            "city": "NELSON",
            "state": "VA",
            "postal_code": "245802819",
            "telephone_number": "434-738-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CONFROY DR STE 4",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245927163",
            "telephone_number": "434-835-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "KORTNEY",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace A. Prudom, LCSW
• Ronald Pryor
• Lovetta Pugh, MD
• Pulmonary Associates of Southside Virginia, Inc
• Edward Sanford Purvis II, M.D.
• RB Hughes Drug Inc
• Reflections Behavioral Health Services LLC
• Reliacare Transport LLC
• Renal Care Group of the South, Inc.
• Pamela Reynolds, FNPC

• Occupational Therapy Assistant in South Boston, VA
• Providers in South Boston, 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 11, 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.