Chara Civitello, OCCUPATIONAL THERAPY

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

0119006625 Issued in VA

Practice address

5804 Chase Commons Court Apt 207
Burke, VA 22015

Phone

(323) 350-8395

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1255717575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 CHASE COMMONS CT APT 207",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154640",
            "telephone_number": "323-350-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 CHASE COMMONS COURT APT 207",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "323-350-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVITELLO",
        "first_name": "CHARA",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "VA",
            "license": "0119006625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• So Young Choi
• Yoon NA Choi
• Christine Karapetian DDS PC
• Carina Chu, PHARMD
• Soon J Chung
• Nancy M Clayton, MD
• Alicia Cleaver, LCSW
• Clifton Burke LLC
• Kimberly Cofsky, FNP-BC
• Comfort Dental Associates PC

• Physical Rehabilitation Occupational Therapist in Burke, VA
• Providers in Burke, VA by specialty
• Physical Rehabilitation Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.