OT Wigs & Extensions Design LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OT WIGS & EXTENSIONS DESIGN LLC

Practice address

8607 Westwood Center Dr Ste 7
Vienna, VA 22182-7506

Phone

(703) 313-1930

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Olivia TyraNPI 1295318186

Title

Owner

Phone

(703) 313-1930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Tyra

  • Physical Rehabilitation Occupational Therapist
  • Vienna, VA
  • NPI 1295318186
  NPD Authorized official

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1376124511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 WESTWOOD CENTER DR STE 7",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827506",
            "telephone_number": "703-313-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 WESTWOOD CENTER DR STE 7",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827506",
            "telephone_number": "703-313-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45570 Silver Pond Sq Apt 303",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201656521",
            "country_code": "US",
            "telephone_number": "703-313-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OT WIGS & EXTENSIONS DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "TYRA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-313-1930"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taiwo Oseni
• Alex Osinovsky, DDS
• Samreen Mohamed Ismail Osman, MD
• Hasan Sami Osseiran, DDS, MS, MAGD
• Mariya Ostrovenko
• Otrada Adult Day Healthcare Center,
• Lauren Beam Ottenhoff, MA
• Lawrence Arnold Oufiero, MD
• Carter Monique Orliac Owen, MD
• Janet E Owen, RPH

• Durable Medical Equipment & Medical Supplies in Vienna, VA
• Providers in Vienna, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.