Individual provider Active NPI

Catherine Hancock Privette

  • Occupational Therapist
  • Martinsville, VA
National Provider Identifier
1932670098
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119006207 Issued in VA
Practice address
101 Cleveland Ave Ste D
Martinsville, VA 24112-3700
Phone
(276) 352-4465
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006207 VA Primary

Addresses

Primary practice location

101 Cleveland Ave Ste D
Martinsville, VA 24112-3700

Mailing address

101 Cleveland Ave Ste D
Martinsville, VA 24112-3700
Phone (276) 352-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190215000540 VA Practitioner - Occupational Therapist in Private Practice 2860730967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119006207VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Therapies Co Occupational Therapist CurrentSince Dec 1, 2018 Accepting new patients

Locations

101 Cleveland Ave
Ste D
Martinsville, VA 24112
Phone (276) 352-4465

128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1932670098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE STE D",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-352-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE STE D",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-352-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "CATHERINE",
        "middle_name": "HANCOCK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.