Active NPI
Lindsay Christine Mora, MS, OTR/L
- Occupational Therapist
- Annandale, VA
National Provider Identifier
1154615342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005369
- Practice address
- 7617 Little River Tpke
Suite 310
Annandale, VA 22003-2603 - Phone
- (703) 750-2443
- NPI assigned
- Jun 5, 2011
- Sex
- Female
- 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 | 0119005369 | VA | Primary |
Addresses
Primary practice location
7617 Little River Tpke
Suite 310
Annandale, VA 22003-2603
Mailing address
2404 E Randolph Ave
Alexandria, VA 22301-1134
Phone (412) 400-1370
Other names 1
- Ms. Lindsay Christine Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119005369 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skill Builders, LLC | Occupational Therapist | Past | Accepting new patients |
| Skill Builders, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1154615342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 E RANDOLPH AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223011134",
"telephone_number": "412-400-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7617 LITTLE RIVER TPKE",
"address_2": "SUITE 310",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032603",
"telephone_number": "703-750-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "LINDSAY",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-05",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "ANDERSON",
"middle_name": "CHRISTINE",
"prefix": "MS.",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.