Active NPI
Tippi Geron, OTD
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1174388219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006563
- Practice address
- 4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3671 - Phone
- (703) 992-3425
- NPI assigned
- Feb 19, 2024
- 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 | 0119006563 | VA | Primary |
Addresses
Primary practice location
4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3671
Mailing address
2445 Freetown Dr
Reston, VA 20191-2511
Phone (703) 232-6064
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 |
|---|---|---|---|
| 0119006563 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1174388219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 FREETOWN DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201912511",
"telephone_number": "703-232-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 CORPORATION LN STE 264",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623671",
"telephone_number": "703-992-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERON",
"first_name": "TIPPI",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.