Provider Demographics
NPI:1265793160
Name:PARSONS, ADAM FREDERICK (OTR/L, NBCTMB)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:FREDERICK
Last Name:PARSONS
Suffix:
Gender:M
Credentials:OTR/L, NBCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 ROSENEATH RD UNIT 304
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4645
Mailing Address - Country:US
Mailing Address - Phone:804-690-8224
Mailing Address - Fax:
Practice Address - Street 1:1310 ROSENEATH RD UNIT 304
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4645
Practice Address - Country:US
Practice Address - Phone:804-690-8224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005308225X00000X
VA0019008482225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist