Individual provider Active NPI

Cindy Black, OTR/L

  • Occupational Therapist
  • Ashburn, VA
National Provider Identifier
1346433117
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004445 Issued in VA
Practice address
21750 Red Rum Dr Ste 117
Ashburn, VA 20147-5867
Phone
(703) 574-2989
NPI assigned
Aug 24, 2007
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 0119004445 VA Primary

Addresses

Primary practice location

21750 Red Rum Dr Ste 117
Ashburn, VA 20147-5867

Mailing address

2604 Jefferson Davis Hwy
Stafford, VA 22554-5011
Phone (540) 657-1423

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
0119004445VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Pediatric Therapy LLC Occupational Therapist CurrentSince Oct 21, 2025 Accepting new patients
Helping Hands Incorporated Pediatrics Past Accepting new patients

Locations

21750 Red Rum Dr
Ste 117
Ashburn, VA 20147
Phone (703) 574-2989

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1346433117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 JEFFERSON DAVIS HWY",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225545011",
            "telephone_number": "540-657-1423",
            "fax_number": "540-657-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 RED RUM DR STE 117",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475867",
            "telephone_number": "703-574-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CINDY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.