Individual provider Active NPI

Adam Frazier Fluger, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Gainesville, VA
National Provider Identifier
1427713007
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
0119006960 Issued in VA
Practice address
7501 Heritage Village PLZ
Gainesville, VA 20155-3078
Phone
(571) 248-6100
NPI assigned
Nov 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 0119006960 VA Primary

Addresses

Primary practice location

7501 Heritage Village PLZ
Gainesville, VA 20155-3078

Mailing address

8938 Englewood Farms Dr
Manassas, VA 20112-5878
Phone (571) 480-2968

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
0119006960VAMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1427713007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8938 ENGLEWOOD FARMS DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201125878",
            "telephone_number": "571-480-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553078",
            "telephone_number": "571-248-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUGER",
        "first_name": "ADAM",
        "middle_name": "FRAZIER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "VA",
            "license": "0119006960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.