OT Fundamentals, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0019003465 Issued in VA

Legal business name

OT FUNDAMENTALS, INC.

Practice address

1816 Pittsburg LNDG
Virginia Beach, VA 23464-8768

Phone

(757) 749-9458

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Miss Leigh Anne Epperson, OTR/L

Title

President

Phone

(757) 749-9458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1285862334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 PITTSBURG LNDG",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648768",
            "telephone_number": "757-749-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 PITTSBURG LNDG",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648768",
            "telephone_number": "757-749-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT FUNDAMENTALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-749-9458",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0019003465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebisi Olumuyiwa Osibogun
• Rhonda Roberts Osisek, MS. CCC-SLP
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• Occupational Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.