Individual provider Active NPI

Shivani Bharti Vij, OTD, OTR/L

  • Occupational Therapist
  • Winchester, VA
National Provider Identifier
1174925101
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119-007370 Issued in VA
Practice address
333 W Cork St
Winchester, VA 22601-3870
Phone
(540) 536-5200
NPI assigned
Sep 22, 2014
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119-007370 VA Primary
Occupational Therapist 225X00000X 07357 MD

Addresses

Primary practice location

333 W Cork St
Winchester, VA 22601-3870

Mailing address

42291 Ashmead Ter
Brambleton, VA 20148-4916
Phone (240) 780-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150514000843 DC Practitioner - Occupational Therapist in Private Practice 8729308713 Reassigns benefits to 1 organization
I20250502000383 VA Practitioner - Occupational Therapist in Private Practice 8729308713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Rehab VA PLLCGroup PAC ID 1951841758, 9 clinicians

Practice addresses (Care Compare)

2807 N Parham Rd
Suite 320
Henrico, VA 23294-4458
Phone (855) 678-8887

9207 Arlington Blvd
Fairfax, VA 22031-2501
Phone (855) 678-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07357MDMDOccupational Therapist
0119-007370VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab VA PLLC Occupational Therapist CurrentSince Jan 21, 2025 Accepting new patients

Locations

2807 N Parham Rd
Ste 320
Richmond, VA 23294
Phone (571) 275-5935

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1174925101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42291 ASHMEAD TER",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484916",
            "telephone_number": "240-780-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013870",
            "telephone_number": "540-536-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJ",
        "first_name": "SHIVANI",
        "middle_name": "BHARTI",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-007370",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.