NPIMap

Organization Active NPI

Holistic Advantage

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1124527221
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004921 Issued in VA
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
Last updated
Feb 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Audrey Philatre, OTR/L, CLTNPI 1508024068
Title
Occupational Therapist
Phone
(781) 654-5267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

205 S Whiting St
Ste 200
Alexandria, VA 22304
Phone (540) 680-3911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.