Individual provider Active NPI

Sandra Pamela Ossio, OTR/L

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1376856468
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005153 Issued in VA
Practice address
4555 Interlachen CT Unit I
Alexandria, VA 22312-3200
Phone
(804) 319-0729
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 0119005153 VA Primary

Addresses

Primary practice location

4555 Interlachen CT Unit I
Alexandria, VA 22312-3200

Mailing address

4555 Interlachen CT Unit I
Alexandria, VA 22312-3200
Phone (804) 319-0729

Other practice location 1

4002 Frederick Farms Ct
Midlothian, VA 23112-3018
Phone (804) 744-9477

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
0119005153VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1376856468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 INTERLACHEN CT UNIT I",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223123200",
            "telephone_number": "804-319-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 INTERLACHEN CT UNIT I",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223123200",
            "telephone_number": "804-319-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Frederick Farms Ct",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231123018",
            "country_code": "US",
            "telephone_number": "804-744-9477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSSIO",
        "first_name": "SANDRA",
        "middle_name": "PAMELA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.