Phillip Herring, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

12072 Issued in NC

Practice address

1460 Babcock Dr
Winston Salem, NC 27106-2632

Phone

(336) 767-8130

NPI assigned

Jan 17, 2020

Sex

Male

Sole proprietor

Yes

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1972133049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CROWN POINT CIR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271916",
            "telephone_number": "980-621-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BABCOCK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062632",
            "telephone_number": "336-767-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "PHILLIP",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Herrera-Godinez, P.A.
• Julyssa Herrera
• Bradford Herring
• Charles Herring, PHARM.D.
• Emily Herring
• David McLeod Herrington, MD
• Deirdre Herrington, MD
• George Erik Hertz, M.D.
• Keith Herzberger, PT
• Justin Powell Hess, MD

• Occupational Therapy Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.