Individual provider Active NPI

Roshanak Hassanzadeh, OTD

  • Occupational Therapist
  • Arlington, VA
National Provider Identifier
1235425141
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007390 Issued in VA
Practice address
2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone
(703) 892-6500
Fax
(703) 521-3415
NPI assigned
Jun 20, 2011
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119007390 VA Primary

Addresses

Primary practice location

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Mailing address

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone (703) 892-6500

Other practice location 1

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613
Phone (703) 292-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000679 DC Practitioner - Occupational Therapist in Private Practice 3072891068 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119007390VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 23, 2016 Accepting new patients
Anderson Clinic LLC CurrentSince Dec 6, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC Occupational Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 23, 2016 Accepting new patients
Anderson Clinic LLC Occupational Therapist CurrentSince Dec 6, 2023 Accepting new patients
Xrhealth USA Inc CurrentSince Jul 30, 2020 Accepting new patients
Donna Olivero PT, LLC PastSince Oct 1, 2018 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

1850 M St NW
Ste 750
Washington, DC 20036
Phone (202) 835-2222

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

Organizations & group practices 7

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1235425141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Fairfax Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031613",
            "country_code": "US",
            "telephone_number": "703-292-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSANZADEH",
        "first_name": "ROSHANAK",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.