Individual provider Active NPI

Erica Michelle Victorson, OTR/L

  • Occupational Therapist
  • Richmond, VA
National Provider Identifier
1073940524
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010394 Issued in OH
Practice address
2040 John Rolfe Pkwy
Richmond, VA 23238-8111
Phone
(804) 754-0916
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4141 CT
Occupational Therapist 225X00000X OT010394 OH Primary

Addresses

Primary practice location

2040 John Rolfe Pkwy
Richmond, VA 23238-8111

Mailing address

2040 John Rolfe Pkwy
Richmond, VA 23238-8111

Other identifiers 1

IdentifierTypeStateIssuer
2565399MedicaidOH

Other names 1

  • Erica Michelle Smith Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210811002485 OH Practitioner - Occupational Therapist in Private Practice 5496159568 Reassigns benefits to 1 organization
I20240206004408 VA Practitioner - Occupational Therapist in Private Practice 5496159568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

2040 John Rolfe Pkwy
Richmond, VA 23238-8111
Phone (804) 754-0916

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4141CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC CurrentSince Jul 1, 2021 Accepting new patients
Tidewater Physical Therapy, LLC CurrentSince Jan 9, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Occupational Therapist CurrentSince Jan 9, 2024 Accepting new patients
Trihealth G, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

350 New Fidelity Ct
Ste 300
Garner, NC 27529

6909 Good Samaritan Dr
Ste A
Cincinnati, OH 45247
Phone (513) 245-2500

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10496 Montgomery Rd
Ste 104
Montgomery, OH 45242
Phone (513) 791-2055

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

2040 John Rolfe Pkwy
Richmond, VA 23238
Phone (804) 754-0916

Interoperability endpoints

  • Direct secure messaging: erica.smith.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1073940524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 JOHN ROLFE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232388111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 JOHN ROLFE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232388111",
            "telephone_number": "804-754-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORSON",
        "first_name": "ERICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "4141",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SMITH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.