Cody Worthington, C.O.T.A.
Individual provider Active NPI Occupational Therapy Assistant · Dickerson, MD
NPI 1912293259 · NPPES record last updated Jun 24, 2011
Key facts
- NPI
- 1912293259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A01782 (MD)
- Practice address
- 21170 Beallsville Rd
Dickerson, MD 20842-9068 - Phone
- (301) 758-0979
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01782 | MD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01782 | MD | Yes |
Addresses
Primary practice location
21170 Beallsville Rd
Dickerson, MD 20842-9068
Mailing address
21170 Beallsville Rd
Dickerson, MD 20842-9068
Other providers in Dickerson, MD
- Patricia A Milligan
- Regina Maria Morales
- Jillene Reiffer
- Patience Quilea Schultz
- Nicole Anna Shaffer
All providers in Dickerson, MD · Occupational Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.