Active NPI
Catherine Elaine McDonough, OTR/L
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1265414502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119001487
- Practice address
- 818 Newtown Rd
Virginia Beach, VA 23462-1116 - Phone
- (757) 473-8016
- Fax
- (757) 473-3580
- NPI assigned
- Nov 14, 2005
- Last updated
- Feb 15, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0119001487 | VA | |
| Occupational Therapist | 225X00000X | 0119001487 | VA | Primary |
Addresses
Primary practice location
818 Newtown Rd
Virginia Beach, VA 23462-1116
Mailing address
2280 Opitz Blvd Ste 210
Woodbridge, VA 22191-3330
Phone (703) 523-1680
Other practice location 1
95 Dunn Dr Ste 123
Stafford, VA 22556-1503
Phone (703) 523-9565
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6400313 | Other | UNITED HEALTH CARE | |
| 7542588 | Other | AETNA | |
| 11454099 | Other | CAQH | |
| 4980093 | Medicaid | VA | |
| 4980093 | Other | VIRGINIA PREMIER HEALTH | |
| 103836 | Other | ANTHEM BLUE CROSS | |
| 35062 | Other | OPTIMA | |
| 9116460 | Other | VA | MEDICAID DME |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Hospital Corporation of Prince William | Past | Accepting new patients | |
| Dianne D. Epplein, R.P.T & Associates PC | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dianne D. Epplein & Associates
- Occupational Therapist
- Virginia Beach, VA
- NPI 1841271830
-
dba Sentara Northern Virginia Medical Center
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1265414502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 OPITZ BLVD STE 210",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913330",
"telephone_number": "703-523-1680",
"fax_number": "571-589-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621116",
"telephone_number": "757-473-8016",
"fax_number": "757-473-3580"
}
],
"practiceLocations": [
{
"address_1": "95 Dunn Dr Ste 123",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225561503",
"country_code": "US",
"telephone_number": "703-523-9565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "CATHERINE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0119001487",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119001487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6400313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7542588",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11454099",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4980093",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "4980093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "103836",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "35062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "9116460",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.