Sierra Alexis Taylor Wolf, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008681 Issued in VA

Practice address

20439 Scioto Ter
Ashburn, VA 20147-7009

Phone

(850) 374-1731

NPI assigned

Nov 6, 2020

Last updated

Oct 31, 2021By the provider in NPPES

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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Neurologic Rehabilitation

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1922482017
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Green Valley, AZ
  • NPI 1417666884

  Occupational Therapist

  Medicare reassignment NPD
• Enabling Wellness, PLLC

  • Occupational Therapist
  • Stone Ridge, VA
  • NPI 1578165932
  Authorized official Same address or phone
• Advanced Neurologic Rehabilitation

  • Rehabilitation Clinic/Center
  • Gilbert, AZ
  • NPI 1518688746
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Green Valley, AZ
  • NPI 1720787542

  Occupational Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD
• Progressive Physical Therapy, LLC

  dba PHOENIX Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1487139309
  NPD (past)
• Progressive Physical Therapy, LLC

  dba Phoenix Rehabilitation and Health Services

  • Physical Therapist
  • Baltimore, MD
  • NPI 1649875030
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1366043168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 S DANYELL PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861162",
            "telephone_number": "850-374-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20439 SCIOTO TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477009",
            "telephone_number": "850-374-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR WOLF",
        "first_name": "SIERRA",
        "middle_name": "ALEXIS",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2021-10-31",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.