Active NPI
David Charles Hybner, O.T.R., A.T.P.
- Occupational Therapist
- Chester, VA
National Provider Identifier
1104066208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119003845
- Practice address
- 5121 Lippingham LN
Chester, VA 23831-6547 - Phone
- (804) 706-1198
- Fax
- (804) 706-1198
- NPI assigned
- Mar 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 02663 | MD | |
| Occupational Therapist | 225X00000X | 0119003845 | VA | Primary |
Addresses
Primary practice location
5121 Lippingham LN
Chester, VA 23831-6547
Mailing address
5121 Lippingham LN
Chester, VA 23831-6547
Phone (804) 706-1198
Other practice location 1
70 Jefferson Ct Ste 102
Zion Crossroads, VA 22942-9604
Phone (540) 832-3061
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 |
|---|---|---|---|
| 02663 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1104066208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 LIPPINGHAM LN",
"city": "CHESTER",
"state": "VA",
"postal_code": "238316547",
"telephone_number": "804-706-1198",
"fax_number": "804-706-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 LIPPINGHAM LN",
"city": "CHESTER",
"state": "VA",
"postal_code": "238316547",
"telephone_number": "804-706-1198",
"fax_number": "804-706-1198"
}
],
"practiceLocations": [
{
"address_1": "70 Jefferson Ct Ste 102",
"address_purpose": "LOCATION",
"city": "Zion Crossroads",
"state": "VA",
"postal_code": "229429604",
"country_code": "US",
"telephone_number": "540-832-3061",
"fax_number": "540-832-3062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYBNER",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "O.T.R., A.T.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-02",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "02663",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119003845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.