Individual provider Active NPI

David Charles Hybner, O.T.R., A.T.P.

  • Occupational Therapist
  • Chester, VA
National Provider Identifier
1104066208
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119003845 Issued in VA
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

Updated by the provider on Apr 21, 2021

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 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

LicenseStateTypeSpecialty
02663MDMDClinical 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.

Verify at the official NPI Registry.