Active NPI
Stephanie Der, OTS
- Occupational Therapist
- McLean, VA
National Provider Identifier
1386435105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 550053
- Practice address
- 1420 Beverly Rd Ste 210
MC Lean, VA 22101-3736 - Phone
- (571) 648-6380
- NPI assigned
- May 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 550053 | VA | Primary |
Addresses
Primary practice location
1420 Beverly Rd Ste 210
MC Lean, VA 22101-3736
Mailing address
13570 Melville LN
Chantilly, VA 20151-2492
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1386435105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13570 MELVILLE LN",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 BEVERLY RD STE 210",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013736",
"telephone_number": "571-648-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DER",
"first_name": "STEPHANIE",
"credential": "OTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "550053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.