Individual provider Active NPI

Kasey Underdown

  • Occupational Therapist
  • Springfield, VA
National Provider Identifier
1083057665
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005869 Issued in VA
Practice address
7001A Loisdale Rd
Springfield, VA 22150-1904
Phone
(703) 971-0602
Fax
(703) 971-0606
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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 0119005869 VA Primary

Addresses

Primary practice location

7001A Loisdale Rd
Springfield, VA 22150-1904

Mailing address

1210 N Vernon St
Arlington, VA 22201-4832

Other names 1

  • Ms. Kasey Underdown Professional name

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

LicenseStateTypeSpecialty
0119005869VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Childrens Center, LLC Past Accepting new patients

Organizations & group practices 1

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1083057665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N VERNON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001A LOISDALE RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501904",
            "telephone_number": "703-971-0602",
            "fax_number": "703-971-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERDOWN",
        "first_name": "KASEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "UNDERDOWN",
            "prefix": "MS.",
            "credential": "M.S.O.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 12, 2013; 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.