Valerie Lynne Pack, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP007001 Issued in PA

Practice address

3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708

Phone

(866) 518-1750

NPI assigned

Feb 8, 2011

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

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1881990927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 ROUTE 899",
            "city": "MARIENVILLE",
            "state": "PA",
            "postal_code": "162393625",
            "telephone_number": "814-282-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NORTHWOODS PKWY",
            "address_2": "SUITE 105",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714708",
            "telephone_number": "866-518-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "VALERIE",
        "middle_name": "LYNNE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Cooper Outlaw, PHARMD
• Kenanesha Owens
• Ayodeji Owoyomi, PT
• Felisheia Lachanta Pace
• David K Pack, M.D.
• Jill J Pagano, NP
• Whitney Verdery Page, NP
• Pain and Accident Chiropractic-Norcross
• Ke Pan, DPT
• Pancho, Inc.

• Occupational Therapy Assistant in Norcross, GA
• Providers in Norcross, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.