Irene Berardelli, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119003166 Issued in VA

Practice address

14715 Bristow Rd
Manassas, VA 20112-3945

Phone

(703) 791-7282

NPI assigned

Dec 21, 2017

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

Other names 1

• Irene Hannam Other name

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1356857783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 ARROWLEAF TURN",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 BRISTOW RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123945",
            "telephone_number": "703-791-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDELLI",
        "first_name": "IRENE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "HANNAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicholas Bendezu
• Hugh Marshall Bennett I, D.C.
• Ricardo Bennett, D.P.M.
• Taylor Benson
• Jennifer Benzel, RN
• Loren Berdequez, LCSW
• Kathryn Mary Berger, MS-SLP
• Emily Bergman, MD
• Nancy Berlin, M.ED.
• Jennifer D Berry, L.C.S.W.

• Occupational Therapist in Manassas, VA
• Providers in Manassas, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.