Individual provider Active NPI

Amber Dawn Riemersma, OTR/L

  • Pediatric Occupational Therapist
  • Springfield, VA
National Provider Identifier
1265067490
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119008450 Issued in VA
Practice address
7001A Loisdale Rd
Springfield, VA 22150-1904
Phone
(703) 971-0602
Fax
(949) 863-6813
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119008450 VA Primary

Addresses

Primary practice location

7001A Loisdale Rd
Springfield, VA 22150-1904

Mailing address

7001A Loisdale Rd
Springfield, VA 22150-1904
Phone (703) 971-0602

Other names 1

  • Miss Amber Dawn Horning Former name

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

LicenseStateTypeSpecialty
0119008450VAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Childrens Center, LLC Pediatrics PastSince Mar 16, 2020 Accepting new patients

Organizations & group practices 1

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1265067490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001A LOISDALE RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501904",
            "telephone_number": "703-971-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001A LOISDALE RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501904",
            "telephone_number": "703-971-0602",
            "fax_number": "949-863-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMERSMA",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119008450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HORNING",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.