Provider Demographics
NPI:1295195139
Name:PAYNE, CARA WEATHERFORD (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:WEATHERFORD
Last Name:PAYNE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:CARA
Other - Middle Name:NELLL
Other - Last Name:WEATHERFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:159 EXECUTIVE DR SUITE A
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541
Mailing Address - Country:US
Mailing Address - Phone:434-799-7732
Mailing Address - Fax:866-468-5040
Practice Address - Street 1:159 EXECUTIVE DR SUITE A
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541
Practice Address - Country:US
Practice Address - Phone:434-799-7732
Practice Address - Fax:866-468-5040
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006889225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics