Individual provider Active NPI

Erin Kelly, OTR/L

  • Occupational Therapist
  • Reston, VA
National Provider Identifier
1285350918
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1860 Town Center Dr Ste 300
Reston, VA 20190-5900
Phone
(703) 435-6604
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 300
Reston, VA 20190-5900

Mailing address

1860 Town Center Dr Ste 300
Reston, VA 20190-5900
Phone (703) 435-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221216002397 DC Practitioner - Occupational Therapist in Private Practice 9830568682 Reassigns benefits to 1 organization
I20221222001747 VA Practitioner - Occupational Therapist in Private Practice 9830568682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 300
Reston, VA 20190-5900
Phone (703) 435-6604

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-7518
Phone (703) 435-6604

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates PC CurrentSince Nov 18, 2022 Accepting new patients
Town Center Orthopaedic Associates, P.C. Occupational Therapist CurrentSince Nov 18, 2022 Accepting new patients

Locations

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 346-2411

11166 Fairfax Blvd
Ste 105
Fairfax, VA 22030
Phone (703) 277-3360

1860 Town Center Dr
Reston, VA 20190
Phone (571) 313-0349

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1285350918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-435-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-435-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ERIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.