MRS. PHYLLIS R ROSS (NPI# 1184686453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184686453 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS R ROSS |
| Credential | OTR/L, CHT, CLT |
| Practice Address |
11712 Jefferson Ave Suite D Newport News VA 23606-4406 |
| Mailing Address |
600 Kanawah Run Yorktown VA 23693-2780 |
| Practice Telephone | 7575954880 |
| Practice Fax Number | 7575954886 |
| Mailing Telephone | 7575954880 |
| Mailing Fax Number | 7575954886 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 0119002028 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
0119002028 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1300X |
Occupational Therapist Specialization: Human Factors |
0119002028 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
0119002028 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
0119002028 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 226300000X | Kinesiotherapist | 0119002028 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAIL HANDLERS BENIFITS | 2062541 | 01 |
| VA | 008948721 | 05 | |
| VA | ALLIANCE PPO | 2101706 | 01 |
| VA | ANTHEM BC/BS | 462361 | 01 |
| VA | MAMSI / GEHA | 2101706 | 01 |
| VA | AETNA | 7202455 | 01 |
| VA | MEDICARE RAILROAD | P00204753 | 01 |
| VA | VETRI SYSTEMS | 70510 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164577888 | Phyllis Greenfield Ross | Social Worker | 100 Whitlockville Rd, Katonah, NY 10536-1113 | 2007-01-24 |
| 1497849079 | Phyllis Ross | Counselor | 573 Main Street, Winchester, MA 01890 | 2006-10-03 |
| 1568550317 | Phyllis Ross | Physician Assistant | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-10-10 |
| Street Address |
11712 JEFFERSON AVE SUITE D |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326154071 | Sally Minnich Wooldridge | Occupational Therapist | 11712 Jefferson Ave, Suite D, Newport News, VA 23606-4406 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1932243888 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 601 Thimble Shoals Blvd, #103, Newport News, VA 23606-2593 | 2007-02-16 |
| 1215090980 | Angela Marie Fitzgerald | Occupational Therapist | 11848 Rock Landing Dr, Suite 303, Newport News, VA 23606-4425 | 2006-12-17 |
| 1326154071 | Sally Minnich Wooldridge | Occupational Therapist | 11712 Jefferson Ave, Suite D, Newport News, VA 23606-4406 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935262 | Corinne Nicole Kelly | Occupational Therapist | 14370 Lee Hwy Ste 104, Gainesville, VA 20155-4865 | 2018-09-08 |
| 1861997694 | Valley Hand Therapy | Occupational Therapist | 812 Amherst St Ste 101, Winchester, VA 22601-3344 | 2018-03-26 |
| 1578983441 | Lan Van-buendia | Occupational Therapist | 7536 Gardner Park Dr, Suite 7536, Gainesville, VA 20155-3414 | 2014-04-18 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1790027696 | Jeanine Miller Adams | Occupational Therapist | 7536 Gardner Park Dr Ste 7536, Gainesville, VA 20155-3414 | 2013-03-19 |
| 1114137981 | Amy Anderson Siegel | Occupational Therapist | 450 Garrisonville Rd Ste 102, Stafford, VA 22554 | 2007-05-23 |
| 1073657953 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 320 Monticello Ave, Williamsburg, VA 23185-2834 | 2007-02-16 |
| 1073657938 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 667 Kingsborough Sq, #100, Chesapeake, VA 23320-4999 | 2007-02-16 |
| 1669510137 | Rita Mcvicar | Occupational Therapist | 7536 Gardner Place Drive, Gainesville, VA 20155 | 2007-02-04 |
| 1164573218 | Bharat K Vallurupalli | Occupational Therapist | 226 Maple Ave W, Suite 405, Vienna, VA 22180-5677 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on MRS. PHYLLIS R ROSS.
| 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.