| Lesley Phillips, OT | |
|
6314 Fredonia Rd, Richmond, VA 23227-1604 | |
| (804) 347-2749 | |
| (617) 250-8243 |
| Full Name | Lesley Phillips |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6314 Fredonia Rd, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376581462 | NPI | - | NPPES |
| OT25083 | Other | FL | FL LICENSE |
| 0119002694 | Other | VA | VA LICENSE |
| 124463 | Other | TX | TX LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119002694 (Virginia) | Primary |
| Provider Name | Imago Rehab, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205407236 PECOS PAC ID: 1850785056 Enrollment ID: O20230608000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley Phillips, OT 110 Canal St Ste 3, Lowell, MA 01852-4589 Ph: (888) 855-2674 | Lesley Phillips, OT 6314 Fredonia Rd, Richmond, VA 23227-1604 Ph: (804) 347-2749 |
Mrs. Ashley Fariss Stewart, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4840 Waller Rd, Richmond, VA 23230 Phone: 804-893-5010 | |
Mrs. Megan Elise Evelyn Breakall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Saunders Ave, Richmond, VA 23227 Phone: 804-358-1874 | |
Mrs. Kimberly Jo Powell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5551 | |
Mary Griessbach, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 | |
Mr. James Lyle Wilkerson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 514 N 24th St, Richmond, VA 23223 Phone: 804-874-4437 | |
Regina R Tune, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7650 E Parham Rd, Suite 100, Richmond, VA 23294 Phone: 804-282-6338 Fax: 804-285-3237 | |
Mrs. Julianne Jerina Marcus, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Skipwith Rd, Richmond, VA 23229 Phone: 804-673-3755 |