Active NPI
Jordan David Dodson
- Occupational Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010598
- Practice address
- 4801 Kenmore Ave Apt 521
Alexandria, VA 22304-1108 - Phone
- (443) 602-2213
- NPI assigned
- Dec 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119010598 | VA | Primary |
Addresses
Primary practice location
4801 Kenmore Ave Apt 521
Alexandria, VA 22304-1108
Mailing address
4801 Kenmore Ave Apt 521
Alexandria, VA 22304-1108
Phone (443) 602-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119010598 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
Locations
10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 3
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.
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DC, Occupational Therapist
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
DC, Occupational Therapist, VA
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735084800000",
"number": "1124836911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 KENMORE AVE APT 521",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041108",
"telephone_number": "443-602-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 KENMORE AVE APT 521",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041108",
"telephone_number": "443-602-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "JORDAN",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-25",
"last_updated": "2024-12-25",
"certification_date": "2024-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010598",
"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 Dec 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.