Active NPI
Summer Vasa
- Occupational Therapist
- Beltsville, MD
National Provider Identifier
1235732785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119008817
- Practice address
- 4600 Powder Mill Rd
Beltsville, MD 20705-2675 - Phone
- (301) 477-7194
- NPI assigned
- Nov 18, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 0119008817 | VA | Primary |
Addresses
Primary practice location
4600 Powder Mill Rd
Beltsville, MD 20705-2675
Mailing address
4600 Powder Mill Rd
Beltsville, MD 20705-2675
Phone (301) 477-7194
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | summer@foxtherapycenter.com |
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 |
|---|---|---|---|
| 0119008817 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1235732785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 POWDER MILL RD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052675",
"telephone_number": "301-477-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 POWDER MILL RD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052675",
"telephone_number": "301-477-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASA",
"first_name": "SUMMER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119008817",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "summer@foxtherapycenter.com",
"affiliation": "N",
"address_1": "200 Executive Center Pkwy Ste 106",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224013177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.