Individual provider Active NPI

Sylvia Puttick Rodrigues, OTR/L, CHT

  • Hand Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1255665709
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 12138 Issued in CA
Practice address
101 S Whiting St
Suite 108
Alexandria, VA 22304-3418
Phone
(703) 370-0097
Fax
(703) 370-0916
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 12138 CA Primary
Hand Occupational Therapist 225XH1200X 5269 MA
Hand Occupational Therapist 225XH1200X 0119004914 VA

Addresses

Primary practice location

101 S Whiting St
Suite 108
Alexandria, VA 22304-3418

Mailing address

3001 Dover Ave
Suite B
Fairfield, CA 94533-9795

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 12138CAMDHand Occupational Therapist
5269MAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand and Upper Extremity Rehab, LLC Past Accepting new patients
Hand and Upper Extremity Rehab, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1255665709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DOVER AVE",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945339795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST",
            "address_2": "SUITE 108",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043418",
            "telephone_number": "703-370-0097",
            "fax_number": "703-370-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "SYLVIA",
        "middle_name": "PUTTICK",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 12138",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "5269",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119004914",
            "primary": false
        }
    ],
    "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 Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.