Individual provider Active NPI

Kaylyn M Santhouse, OTR/L

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1093286023
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119009725 Issued in VA
Practice address
7116 Fort Hunt Rd
Alexandria, VA 22307-1900
Phone
(703) 768-0234
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 0119009725 VA Primary

Addresses

Primary practice location

7116 Fort Hunt Rd
Alexandria, VA 22307-1900

Mailing address

621 U St NW
Washington, DC 20001-2340
Phone (860) 798-2181

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190118000455 DC Practitioner - Occupational Therapist in Private Practice 3870839426 Reassigns benefits to 1 organization
I20231213001119 VA Practitioner - Occupational Therapist in Private Practice 3870839426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

3365 Ogden Rd
Roanoke, VA 24018-1151
Phone 5406827506506

5901 Macarthur Blvd NW
Washington, DC 20016-2541
Phone (202) 244-6800

7112 Braddock Rd
Annandale, VA 22003-6007
Phone (919) 825-1738

7116 Fort Hunt Rd
Alexandria, VA 22307-1900
Phone (571) 257-6874

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119009725VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Oct 3, 2022 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist Current Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 28, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 3, 2022 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1093286023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012340",
            "telephone_number": "860-798-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 FORT HUNT RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071900",
            "telephone_number": "703-768-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTHOUSE",
        "first_name": "KAYLYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.