Ashleigh Balsamo Stevens, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119005067 Issued in VA

Practice address

3900 Jermantown Rd
#150
Fairfax, VA 22030-4900

Phone

(703) 910-5006

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Ashleigh Lauren Balsamo Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Alina LLC Dba Full DistanceGroup PAC ID 2961788062, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Alina, LLC Dba Full Distance

  • Physical Therapist
  • Hamilton, VA
  • NPI 1881139079

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1487012787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD",
            "address_2": "#150",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-910-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD",
            "address_2": "#150",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-910-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ASHLEIGH",
        "middle_name": "BALSAMO",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "BALSAMO",
            "middle_name": "LAUREN",
            "prefix": "MS.",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randolph R Stephenson, MD
• Lauren Elizabeth Steppe, MS, CNS, LDN
• Edward A Stern, PMHNP-BC
• Harvey Jay Stern, MD
• Lawrence E Stern, M.D.
• Emily P Stevens
• Kathryn Stevens
• Kathy Marie Stevens, LPC
• Rebecca M. Stevenson, LICSW
• Stewart C Ho DMD PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.

Verify at the official NPI Registry.