Active NPI
Corinne Breskovich
- Occupational Therapist
- Alexandria, VA
National Provider Identifier
1225415508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056010595
- Practice address
- 4605G Pinecrest Office Park Dr
Alexandria, VA 22312-1442 - Phone
- (703) 813-6330
- NPI assigned
- May 6, 2015
- 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 | 056010595 | IL | Primary |
Addresses
Primary practice location
4605G Pinecrest Office Park Dr
Alexandria, VA 22312-1442
Mailing address
5986 Duane Rd
Fort Belvoir, VA 22060-3233
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 |
|---|---|---|---|
| 056010595 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1225415508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5986 DUANE RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220603233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605G PINECREST OFFICE PARK DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121442",
"telephone_number": "703-813-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESKOVICH",
"first_name": "CORINNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056010595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.