PERETHA FAYE PATTERSON (NPI# 1114121068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114121068 |
| Entity Type | Individual |
| Full Name | PERETHA FAYE PATTERSON |
| Credential | C.O.T.A. |
| Practice Address |
15 Saint Williams Way Stafford VA 22556-3640 |
| Practice Telephone | 5402878002 |
| Mailing Telephone | 5402878002 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | COMMONWEALTH OF VIRGINIA, DEPARTMENT OF HEALTH PROFESSIONS, LICE | 0131000208 | 01 |
| Street Address |
15 SAINT WILLIAMS WAY |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197909 | Jasmine C Thomas | Occupational Therapy Assistant | 500 Stafford Glen Ct, Stafford, VA 22554-1762 | 2018-09-07 |
| 1174837710 | Traci Chafin | Occupational Therapy Assistant | 117 Jennifer Ln, Stafford, VA 22554-5422 | 2010-08-05 |
| 1265650733 | Corrine Camilla Lafitte | Occupational Therapy Assistant | 12407 Fern Meadow Dr, Stafford, TX 77477-2214 | 2007-04-23 |
| 1770942526 | Mary Vineski | Occupational Therapy Assistant | 405 Grand Ave, Stafford, KS 67578-2009 | 2016-02-22 |
| 1912311432 | Angela R Gonzalez | Occupational Therapy Assistant | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2014-06-12 |
| 1346586161 | Sarah Wilkinson Dietzmann | Occupational Therapy Assistant | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2012-12-26 |
| 1205193083 | Christina Clayton | Occupational Therapy Assistant | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2012-04-18 |
| 1902188063 | Wendy Framsted | Occupational Therapy Assistant | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2011-09-14 |
| 1619276706 | Angela Renee Shepherd | Occupational Therapy Assistant | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2011-03-15 |
| 1154658706 | Clarissa Gayle Phillips | Occupational Therapy Assistant | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-11-03 |
| Find all providers in STAFFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.