| Jason Burris, OTD, OTR/L | |
|
300 Twinridge Ln, North Chesterfield, VA 23235-5282 | |
| (804) 593-5181 | |
| Not Available |
| Full Name | Jason Burris |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 300 Twinridge Ln, North Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760099964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119008749 (Virginia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Burris, OTD, OTR/L 9260 Stony Crest Cir Apt 737, Richmond, VA 23235-6897 Ph: (571) 216-8807 | Jason Burris, OTD, OTR/L 300 Twinridge Ln, North Chesterfield, VA 23235-5282 Ph: (804) 593-5181 |
Stella Matthews, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8005 W Mount Bella Rd, North Chesterfield, VA 23235 Phone: 866-370-8206 | |
Meghan O Reynolds, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 757-490-3223 Fax: 757-490-2936 | |
Tatiana Schrader, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 757-490-3223 | |
Miss Blair Mallory, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 757-490-3223 Fax: 757-490-3223 | |
Kristi Gregory, MS OTRL CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1115 Boulders Pkwy Ste 100a, North Chesterfield, VA 23225 Phone: 804-330-8165 Fax: 804-287-2786 | |
Ms. Sarah Emily Hopkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9919 Castle Glen Ter, North Chesterfield, VA 23236 Phone: 804-647-3613 | |
Danielle Moll, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 757-490-3223 |