Maryssa Edwards

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002906 Issued in VA

Practice address

2133 Montgomery Ave
Woodbridge, VA 22191-2655

Phone

(703) 494-3817

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1306449889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 KILPATRICK PL",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262536",
            "telephone_number": "540-604-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 MONTGOMERY AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912655",
            "telephone_number": "703-494-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chelsey Michelle Edmunds, CPNP-AC
• Rose Akhoasegbe Ehichioya, PMHNP, PHD
• Rachel Gayle Ehrmantraut, LCSW
• Dawn M Eichin, LCSW
• Chukusom Benson Ekere
• Mohamed H. El Mawan, MD

• Occupational Therapy Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.