Individual provider Active NPI

Heather Nicole Tritsarolis, COTA/L

  • Occupational Therapy Assistant
  • Roanoke, VA
National Provider Identifier
1477161024
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131001463 Issued in VA
Practice address
4920 Woodmar Dr SW
Roanoke, VA 24018-1651
Phone
(866) 450-4522
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131001463 VA Primary

Addresses

Primary practice location

4920 Woodmar Dr SW
Roanoke, VA 24018-1651

Mailing address

2905 Jeffrey Dr
Roanoke, VA 24018-4335
Phone (540) 613-0904

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Heather.Tritsarolis@genesishcc.com Health Information Exchange (HIE)

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
0131001463VAMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: heather.tritsarolis@genesishcc.com

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1477161024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 JEFFREY DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184335",
            "telephone_number": "540-613-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 WOODMAR DR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181651",
            "telephone_number": "866-450-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITSAROLIS",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.Tritsarolis@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4920 Woodmar Dr SW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240181651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.