Low Vision Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LOW VISION THERAPY, LLC

Practice address

1504 Kingstream Circle
Herndon, VA 20170-2700

Phone

(703) 505-5771

Fax

(703) 437-0168

NPI assigned

Oct 15, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joan C. Gillard, OTR/LNPI 1891965935

Title

Owner/Manager

Phone

(703) 505-5771

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan C Gillard

  • Occupational Therapist
  • Herndon, VA
  • NPI 1891965935
  Authorized official Same address or phone

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1376795922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 KINGSTREAM CIRCLE",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702700",
            "telephone_number": "703-505-5771",
            "fax_number": "703-437-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 KINGSTREAM CIRCLE",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702700",
            "telephone_number": "703-505-5771",
            "fax_number": "703-437-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW VISION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "GILLARD",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "703-505-5771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Herndon, VA
• Providers in Herndon, 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 15, 2008; 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.