Active NPI
Sasha Gang
- Occupational Therapist
- Springfield, VA
National Provider Identifier
1043341423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004780
- Practice address
- 6506 Loisdale Rd
Third Floor
Springfield, VA 22150-1824 - Phone
- (703) 922-5048
- NPI assigned
- Mar 8, 2007
- Last updated
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2004013587 | MO | |
| Occupational Therapist | 225X00000X | 0119004780 | VA | Primary |
Addresses
Primary practice location
6506 Loisdale Rd
Third Floor
Springfield, VA 22150-1824
Mailing address
6506 Loisdale Rd
Third Floor
Springfield, VA 22150-1824
Phone (703) 922-5048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004013587 | MO | MD | Occupational Therapist |
| 0119004780 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1043341423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6506 LOISDALE RD",
"address_2": "THIRD FLOOR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501824",
"telephone_number": "703-922-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 LOISDALE RD",
"address_2": "THIRD FLOOR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501824",
"telephone_number": "703-922-5048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANG",
"first_name": "SASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2004013587",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.