Organization Active NPI

Hand and Upper Extremity Rehab, LLC

  • Occupational Therapist
  • Fairfax, VA
National Provider Identifier
1164466454
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119000476 Issued in VA
Legal business name
HAND AND UPPER EXTREMITY REHAB, LLC
Practice address
10560 Main St Ste 417
Fairfax, VA 22030-7174
Phone
(703) 717-5667
Fax
(703) 986-3108
NPI assigned
Jun 16, 2006
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Patricia A Wright, MOT, OTR/L, CHT
Title
Owner/Director
Phone
(703) 754-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119000476 VA Primary

Addresses

Primary practice location

10560 Main St Ste 417
Fairfax, VA 22030-7174

Mailing address

14029 Breeders Cup Dr
Gainesville, VA 20155-3142
Phone (703) 565-4115

Other practice location 1

101 S Whiting St
Suite 108
Alexandria, VA 22304-3418
Phone (703) 370-0097

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

101 S Whiting St
Ste 108
Alexandria, VA 22304
Phone (703) 370-0097

10560 Main St
Ste 417
Fairfax, VA 22030
Phone (703) 717-5667

7521 Virginia Oaks Dr
Ste 240
Gainesville, VA 20155
Phone (703) 753-7600

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1164466454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14029 BREEDERS CUP DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553142",
            "telephone_number": "703-565-4115",
            "fax_number": "571-284-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 417",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307174",
            "telephone_number": "703-717-5667",
            "fax_number": "703-986-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Whiting St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223043418",
            "country_code": "US",
            "telephone_number": "703-370-0097",
            "fax_number": "703-370-0916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAND AND UPPER EXTREMITY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "703-754-4770",
        "authorized_official_credential": "MOT, OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.