PORTIA PETTIGREW


Address: 1240 Arbor Rd, Winston Salem, NC 27104-1106
Phone: 3367247921

PORTIA PETTIGREW (NPI# 1629101811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629101811
Entity Type Individual
Full Name PORTIA PETTIGREW
Practice Address 1240 Arbor Rd
Winston Salem
NC 27104-1106
Mailing Address 5140 Williamsburg Rd
Winston Salem
NC 27106-2437
Practice Telephone 3367247921
Enumeration Date 2007-03-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5849 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1240 ARBOR RD
City WINSTON SALEM
State NC
Zip Code 27104-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902939796 Holly Connor Devore Physical Therapist 1240 Arbor Rd, Winston Salem, NC 27104-1106 2007-03-13
1225594047 Leah A Henderson Occupational Therapy Assistant 1240 Arbor Rd, Winston Salem, NC 27104-1106 2019-02-17
1629590922 Stephanie H Ball Occupational Therapy Assistant 1240 Arbor Rd, Winston Salem, NC 27104-1106 2017-07-09
1104375823 Arbor Acres United Methodist Retirement Community, Inc Skilled Nursing Facility 1240 Arbor Rd, Winston Salem, NC 27104-1106 2016-09-22
1831485978 Lisa Lynn Ferguson Occupational Therapist 1240 Arbor Rd, Winston Salem, NC 27104-1106 2011-06-28
1154636967 Elizabeth Sloop Whicker Physical Therapy Assistant 1240 Arbor Rd, Winston Salem, NC 27104-1106 2010-08-17
1962738625 Trina G. Wilson Physical Therapist 1240 Arbor Rd, Winston Salem, NC 27104-1106 2009-10-30
1275656142 Karen Tatum Calcutt Physical Therapy Assistant 1240 Arbor Rd, Winston Salem, NC 27104-1106 2007-04-07
1477686657 Karen Hampton Appolonia Speech-Language Pathologist 1240 Arbor Rd, Winston Salem, NC 27104-1106 2007-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447807664 Cameron Grant Ford Psychologist 614 Country Club Road, Winston-salem, NC 27104 2019-08-22
1104310374 Novant Medical Group, Inc. Internal Medicine 4937 Old Country Club Rd, Winston Salem, NC 27104 2018-06-20
1982100509 Dillon James Magalski Student in an Organized Health Care Education/Training Program Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 2018-04-03
1891290144 Breann M Poling Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 2018-03-28
1689178600 Christopher Vasil Student in an Organized Health Care Education/Training Program Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 2018-03-23
1407379126 April Lynn Lowe Registered Nurse 940 N Peace Haven Rd, Winstonsalem, NC 27104 2017-07-25
1164950804 Donald Joyce Student in an Organized Health Care Education/Training Program 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 2017-05-25
1255867289 Benjamin Hansen Pharmacist 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 2017-05-11
1770020976 Jane Reed Physical Medicine & Rehabilitation 2627 E Greenbrier Road, Winston Salem, NC 27104 2017-01-25
1053728261 Ashraf Alsaedi Pharmacist 1659 Stratford Rd Nw, Winston Salem, NC 27104 2014-07-20
Find all providers in zip 27104

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295349447 Hope Poindexter Occupational Therapist 601 S Martin Luther King Jr Dr Fl 430, Winston Salem, NC 27110-0003 2020-09-04
1649884701 Lila Grafius Occupational Therapist 601 Martin Luther King Dr 432 Fl Atkins Building, Winston Salem, NC 27110-0001 2020-09-04
1578177846 Krisana Yuen Occupational Therapist 4960 Thales Rd Apt C, Winston Salem, NC 27104-4534 2020-09-03
1285248476 Tiffany Imes Occupational Therapist 221 S Cherry St Apt 457, Winston Salem, NC 27101-5374 2020-09-03
1437763703 Gabriel Matiah Smiley Occupational Therapist 160 Crowne Chase Dr Apt 6, Winston Salem, NC 27104-3585 2020-09-03
1356972632 Rebecca Obendorf Occupational Therapist 661 Valley Brook Ln, Winston Salem, NC 27104-2732 2020-01-27
1811469166 Erin Dula Occupational Therapist 1460 Babcock Dr, Winston Salem, NC 27106-2632 2018-12-27
1942776497 Ashley Karoline Joyce Occupational Therapist 190 Moravian Way Dr, Winston Salem, NC 27106-3216 2018-10-22
1164945507 Emily Anne Dickens Occupational Therapist 1199 Hayes Forest Dr # D, Winston Salem, NC 27106-3377 2017-07-18
1811427925 Rachel Mccutcheon Occupational Therapist 310 W 4th St Apt 305, Winston Salem, NC 27101-2875 2017-06-13
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27104

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Dataset Information

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.

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