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Contact Information

PHYLLIS R ROSS, OTR/L, CHT, CLT
11712 JEFFERSON AVE
SUITE D
NEWPORT NEWS, VA23606-4406
 Phone: 757-595-4880
 Fax: 757-595-4886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Human Factors

225XH1300X 67 Occupational Therapist in Private Practice
 

Kinesiotherapist

226300000X
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PHYLLIS R ROSS · (Female)

NPI # 1184686453
Status Active
Credentials OTR/L, CHT, CLT
Entity Individual
Enumeration date 04/04/2006
Last updated 06/09/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0119002028
  • VA Medicaid 008948721
  • VA Other 7202455 AETNA
  • VA Other 2101706 ALLIANCE PPO
  • VA Other 462361 ANTHEM BC/BS
  • VA Other 2062541 MAIL HANDLERS BENIFITS
  • VA Other 2101706 MAMSI / GEHA
  • VA Other P00204753 MEDICARE RAILROAD
  • VA Other 70510 VETRI SYSTEMS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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