Active NPI
Leah Nichole Gates
- Pediatric Occupational Therapist
- Manassas, VA
National Provider Identifier
1417786146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0119010846
- Practice address
- 9379 Forestwood LN
Manassas, VA 20110-4760 - Phone
- (703) 909-9332
- NPI assigned
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0119010846 | VA | Primary |
| Occupational Therapy Assistant | 224Z00000X | 2008008558 | MO |
Addresses
Primary practice location
9379 Forestwood LN
Manassas, VA 20110-4760
Mailing address
12590 Spiller LN
Manassas, VA 20112-8831
Phone (401) 368-6006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008008558 | MO | MD | Occupational Therapy Assistant |
| 0119010846 | VA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients | |
| Family Beeginnings Inc. | Occupational Therapy Assistant | Past | Accepting new patients |
Locations
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Manassas, VA
- NPI 1578119236
Occupational Therapy Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1417786146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12590 SPILLER LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201128831",
"telephone_number": "401-368-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9379 FORESTWOOD LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104760",
"telephone_number": "703-909-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "LEAH",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "VA",
"license": "0119010846",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2008008558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.