CLINT HOLCOMB (NPI# 1437615655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437615655 |
| Entity Type | Individual |
| Full Name | CLINT HOLCOMB |
| Practice Address |
250 Flank Rd Petersburg VA 23805-9117 |
| Practice Telephone | 8048612223 |
| Mailing Telephone | 8048612223 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119004674 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
250 FLANK RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619924834 | Beverly Enterprises - Virginia, Inc. | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2006-05-31 |
| 1710595657 | La Krista Fant | Registered Nurse | 250 Flank Rd, Petersburg, VA 23805-9117 | 2020-07-16 |
| 1518423854 | Margaret Anne Otto | Speech-Language Pathologist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2019-02-12 |
| 1003397167 | Megan Mottola | Occupational Therapist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2018-08-27 |
| 1497235188 | Susan Humphries | Physical Therapist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2018-08-21 |
| 1972044485 | Flank Leasing Co., LLC | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2017-03-16 |
| 1407226509 | Golden Physician Partners, LLC | Internal Medicine | 250 Flank Rd, Petersburg, VA 23805-9117 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619405446 | Sarah Neal Phillips | Occupational Therapist | 321 Poplar Dr, Petersburg, VA 23805-9306 | 2017-05-24 |
| 1477682904 | Craig Edward Nelson | Occupational Therapist | 7th and Albemarle St, Petersburg, VA 23803-0030 | 2007-03-02 |
| 1598387482 | Jessica Mae Baker | Occupational Therapist | 103 Fram St., Petersburg, AK 99833 | 2020-05-13 |
| 1508329467 | Arun Selvaratnam | Occupational Therapist | 287 E South Blvd, Petersburg, VA 23805-2700 | 2019-04-08 |
| 1538625058 | Christina Mason | Occupational Therapist | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2019-02-20 |
| 1003397167 | Megan Mottola | Occupational Therapist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2018-08-27 |
| 1356876569 | Todd A Connor | Occupational Therapist | 287 E South Blvd, Petersburg, VA 23805-2700 | 2017-04-25 |
| 1326304940 | Jacqueline Croarkin | Occupational Therapist | 46 Diamond Dr, Petersburg, VA 23803-7495 | 2012-04-09 |
| 1104118348 | Stacie Leigh Sites | Occupational Therapist | 1 Hospital Dr, Petersburg, WV 26847-9549 | 2011-05-06 |
| 1881852242 | Sarah Marie Schroeder | Occupational Therapist | 287 E South Blvd, Petersburg, VA 23805-2700 | 2008-06-01 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.