Wings of Hope Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

WINGS OF HOPE THERAPY

Practice address

4501 Papillion CT
Fredericksburg, VA 22408-7740

Phone

(540) 841-9907

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Leslie Rivera, OTR/L

Title

Owner

Phone

(540) 841-9907

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Leslie Poblacion, OTR/L

  • Pediatric Occupational Therapist
  • Fredericksburg, VA
  • NPI 1497320253
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1164200796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 PAPILLION CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087740",
            "telephone_number": "540-841-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 PAPILLION CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087740",
            "telephone_number": "540-841-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-841-9907",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Avery Wilson, MD
• Madison S Wilson
• Sammy Wilson
• Shannon Leigh Wilson
• Margaret Windland, FNP
• Sheryl L Winkler, LCSW
• Gena Anne Winn, LMT
• Emma Nichole Winslow, MD
• Marion Winston
• Melissa JM Winters, PSY.D.

• Occupational Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.