Abigail Lee Conley

Individual provider Active NPI Pediatric Occupational Therapist · Broadlands, VA

NPI 1114119104 · NPPES record last updated Apr 27, 2018

Key facts

NPI
1114119104
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
0119004520 (VA)
Practice address
21000 Education CT
Broadlands, VA 20148-5526
Phone
(571) 252-1000
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0119004520VAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun County Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119004520 VA Yes

Addresses

Primary practice location

21000 Education CT
Broadlands, VA 20148-5526

Mailing address

21000 Education CT
Broadlands, VA 20148-5526
Phone (571) 252-1000

Other providers in Broadlands, VA

All providers in Broadlands, VA · Pediatric Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.