Provider Demographics
NPI:1497983746
Name:NEWMAN-DARROW, KERRI (OT)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:NEWMAN-DARROW
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 FICKLEN RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2101
Mailing Address - Country:US
Mailing Address - Phone:662-832-3940
Mailing Address - Fax:301-932-4789
Practice Address - Street 1:1039 FICKLEN RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2101
Practice Address - Country:US
Practice Address - Phone:662-832-3940
Practice Address - Fax:540-930-0748
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211081225XH1200X
VA0119006651225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS620819926OtherBCBS MS
TN9416357OtherAETNA
TN1516751Medicaid
TN620819926OtherTRICARE
TN620819926OtherCIGNA
TN620819926OtherAETNA
TN1516751Medicaid
TN9416357OtherAETNA