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Mr. Jeffery George Riddle, COTA/L
Comprehensive Outpatient Rehabilitation Facility (CORF) in Winston Salem, North Carolina
NPI 1861785198

Jeffery George Riddle is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Winston Salem, NC and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Jeffery George Riddle practices in Winston Salem, NC and has the professional credentials of COTA/L. The NPI Number for Jeffery George Riddle is 1861785198 and holds a License No. 0999 (North Carolina).

The current practice location address for Jeffery George Riddle is 245 N Gordon Dr, Winston Salem, NC and can be reached out via phone at 336-529-6835.

Location: 245 N Gordon Dr, Winston Salem, NC, 27104-2822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861785198
Provider Name
Jeffery George Riddle
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
245 N Gordon Dr, Winston Salem, NC, 27104-2822
Phone Number
336-529-6835
Fax Number
Provider Enumeration Date
05/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
245 N Gordon Dr
City
Winston Salem
State
North Carolina
Zip
27104-2822
Phone Number
336-529-6835
Fax Number
person
Provider Business Mailing Address Details
Address
245 N Gordon Dr
City
Winston Salem
State
North Carolina
Zip
27104-2822
Phone Number
336-529-6835
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapy Assistant
Speciality
-
Taxonomy
224Z00000X
License No.
0999 (North Carolina)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
0999 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
0999 (North Carolina)
Definition
Definition to come...
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