Active NPI
Holistic Advantage
- Occupational Therapist
- Alexandria, VA
National Provider Identifier
1124527221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004921
- Legal business name
- HOLISTIC ADVANTAGE
- Practice address
- 205 S Whiting St Ste 200
Alexandria, VA 22304-3693 - Phone
- (781) 654-5267
- NPI assigned
- Feb 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audrey Philatre, OTR/L, CLT
- Title
- Occupational Therapist
- Phone
- (781) 654-5267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119004921 | VA | Primary |
Addresses
Primary practice location
205 S Whiting St Ste 200
Alexandria, VA 22304-3693
Mailing address
6300 Stevenson Ave Apt 907
Alexandria, VA 22304-3573
National Provider Directory
National Provider DirectoryLocations
205 S Whiting St
Ste 200
Alexandria, VA 22304
Phone (540) 680-3911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517788800000",
"number": "1124527221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 STEVENSON AVE APT 907",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223043573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S WHITING ST STE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223043693",
"telephone_number": "781-654-5267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC ADVANTAGE",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2018-02-05",
"status": "A",
"authorized_official_last_name": "PHILATRE",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "781-654-5267",
"authorized_official_credential": "OTR/L, CLT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004921",
"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 Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.