Greeshma Thotakura

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119004509 Issued in VA

Practice address

3923 Beeker Mill PL
Chantilly, VA 20151-3388

Phone

(248) 303-3693

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Procare Home Health LLC

  • Home Health Agency
  • Herndon, VA
  • NPI 1255867560
  NPD Authorized official

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1477914463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 BEEKER MILL PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 BEEKER MILL PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513388",
            "telephone_number": "248-303-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTAKURA",
        "first_name": "GREESHMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Shane' Thompson, MSN, CNM
• Leanna Thompson
• Megan Dana Thompson
• Deandra Thoms
• Tyler James Thornburg, PT, DPT
• Lalitha Prasad Thungathurthi
• TJ Medical Spa LLC
• Bryant Lam To, D.D.S.
• Katherine Tolbert, RN, DOULA
• Theresa P Ton, DDS

• Occupational Therapist in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.