NPIMap

Organization Active NPI

Reaching Potentials VA, LLC

  • Early Intervention Provider Agency
  • Fredericksburg, VA
National Provider Identifier
1114465309
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
REACHING POTENTIALS VA, LLC
Practice address
10707 Spotsylvania Avenue
Suite 101
Fredericksburg, VA 22408-2682
Phone
(540) 368-8087
Fax
(540) 368-8059
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela Hall Gorski, BCBA, LBA
Title
President
Phone
(561) 212-2157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

10707 Spotsylvania Avenue
Suite 101
Fredericksburg, VA 22408-2682

Mailing address

P O Box 1394
Fredericksburg, VA 22402-1394
Phone (540) 368-8087

National Provider Directory

National Provider Directory

Locations

10707 Spotsylvania Ave
Ste 101
Fredericksburg, VA 22408
Phone (540) 368-8087

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1114465309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1394",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224021394",
            "telephone_number": "540-368-8087",
            "fax_number": "540-368-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 SPOTSYLVANIA AVENUE",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082682",
            "telephone_number": "540-368-8087",
            "fax_number": "540-368-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING POTENTIALS VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "GORSKI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-212-2157",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.