Active NPI
Shayna Alexis Friedman, MOT, OTR/L
- Physical Rehabilitation Occupational Therapist
- Falls Church, VA
National Provider Identifier
1043936131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 0119008824
- Practice address
- 3440 S Jefferson St
Falls Church, VA 22041-3145 - Phone
- (703) 820-1488
- NPI assigned
- Oct 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 0119008824 | VA | Primary |
Addresses
Primary practice location
3440 S Jefferson St
Falls Church, VA 22041-3145
Mailing address
3311 Coryell LN
Alexandria, VA 22302-2114
Phone (301) 461-6295
Other practice location 1
5000 Fairbanks Ave
Alexandria, VA 22311-1246
Phone (703) 797-3800
Other practice location 2
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0530
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119008824 | VA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1043936131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 CORYELL LN",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022114",
"telephone_number": "301-461-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 S JEFFERSON ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220413145",
"telephone_number": "703-820-1488"
}
],
"practiceLocations": [
{
"address_1": "5000 Fairbanks Ave",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223111246",
"country_code": "US",
"telephone_number": "703-797-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8081 Innovation Park Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314867",
"country_code": "US",
"telephone_number": "571-472-0530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "SHAYNA",
"middle_name": "ALEXIS",
"name_prefix": "Miss",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "VA",
"license": "0119008824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.