Active NPI
Victoria Chandler, OTRL
- Occupational Therapist
- North Dinwiddie, VA
National Provider Identifier
1164636478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004579
- Practice address
- 4707 Woodstream Dr
North Dinwiddie, VA 23803-8801 - Phone
- (804) 733-7261
- NPI assigned
- May 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0116611 | NY | |
| Occupational Therapist | 225X00000X | 0119004579 | VA | Primary |
Addresses
Primary practice location
4707 Woodstream Dr
North Dinwiddie, VA 23803-8801
Mailing address
4707 Woodstream Dr
North Dinwiddie, VA 23803-8801
Phone (804) 733-7261
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116611 | NY | MD | Occupational Therapist |
| 0119004579 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1164636478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 WOODSTREAM DR",
"city": "NORTH DINWIDDIE",
"state": "VA",
"postal_code": "238038801",
"telephone_number": "804-733-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 WOODSTREAM DR",
"city": "NORTH DINWIDDIE",
"state": "VA",
"postal_code": "238038801",
"telephone_number": "804-733-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0116611",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Dinwiddie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.