NPIMap

Organization Active NPI

Independence by Design

  • Occupational Therapist
  • Midlothian, VA
National Provider Identifier
1013114784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119001262 Issued in VA
Legal business name
INDEPENDENCE BY DESIGN
Practice address
14318 Denby Ter
Midlothian, VA 23114-4320
Phone
(804) 794-1333
Fax
(804) 379-8664
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer Lynn Whitaker, OTR, CAPSNPI 1114973088
Title
Owner
Phone
(804) 794-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119001262 VA Primary

Addresses

Primary practice location

14318 Denby Ter
Midlothian, VA 23114-4320

Mailing address

14318 Denby Ter
Midlothian, VA 23114-4320
Phone (804) 794-1333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013114784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14318 DENBY TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144320",
            "telephone_number": "804-794-1333",
            "fax_number": "804-379-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14318 DENBY TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144320",
            "telephone_number": "804-794-1333",
            "fax_number": "804-379-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-794-1333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR, CAPS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.