Individual provider Active NPI

Beverly Uwanaka, OT

  • Occupational Therapist
  • Gaithersburg, MD
National Provider Identifier
1073251229
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09625 Issued in MD
Practice address
211 Perry Pkwy Ste 1
Gaithersburg, MD 20877-2144
Phone
(301) 916-8540
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09625 MD Primary

Addresses

Primary practice location

211 Perry Pkwy Ste 1
Gaithersburg, MD 20877-2144

Mailing address

211 Perry Pkwy Ste 1
Gaithersburg, MD 20877-2144
Phone (301) 916-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230131003139 DC Practitioner - Occupational Therapist in Private Practice 5395116214 Reassigns benefits to 1 organization
I20230331002368 VA Practitioner - Occupational Therapist in Private Practice 5395116214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town Center Orthopaedic Associates P CGroup PAC ID 9335048966, 55 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 300
Reston, VA 20190-5900
Phone (703) 435-6604

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-7518
Phone (703) 435-6604

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates, P.C. Occupational Therapist CurrentSince Jan 3, 2023 Accepting new patients
Town Center Orthopaedic Associates PC CurrentSince Jan 3, 2023 Accepting new patients
Active Physical Therapy Services, LLC Occupational Therapist PastSince May 29, 2022 Accepting new patients

Locations

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 346-2411

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1073251229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PERRY PKWY STE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772144",
            "telephone_number": "301-916-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PERRY PKWY STE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772144",
            "telephone_number": "301-916-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWANAKA",
        "first_name": "BEVERLY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.