Active NPI
Kailie R Cummings, OTR/F
- Occupational Therapist
- Fredericksburg, VA
National Provider Identifier
1922338367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005010
- Practice address
- 12100 Chancellors Village
Fredericksburg, VA 22407-5173 - Phone
- (315) 573-1961
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119005010 | VA | Primary |
Addresses
Primary practice location
12100 Chancellors Village
Fredericksburg, VA 22407-5173
Mailing address
2007 Woodlyn Dr
Apt. 204
Fredericksburg, VA 22401-5173
Phone (315) 573-1961
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119005010 | VA | MD | Occupational Therapist |
| 07293 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1922338367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 WOODLYN DR",
"address_2": "APT. 204",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015173",
"telephone_number": "315-573-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 CHANCELLORS VILLAGE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224075173",
"telephone_number": "315-573-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "KAILIE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "OTR/F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Cuidado Casero Home Care of Virginia Inc
- Cuidado Casero Home Care of Virginia Inc
- Cuidado Casero Home Care of Virginia Inc
- James Marion Culberson, D.M.D., M.S.
- Julie Arline Cummings, FNP-BC
- Talisa Cummings, PHYSICAL THERAPIST
- Destinee Janet Cunningham
- Randall B. Currie, M.D.
- Amber M Curtiss, SLP
- Kelley Elizabeth Cutler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.