Individual provider Active NPI

Louis Mihota, OTR

  • Occupational Therapist
  • Fredericksburg, VA
National Provider Identifier
1487489035
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119011358 Issued in VA
Practice address
4710 Spotsylvania Pkwy Ste 100
Fredericksburg, VA 22407-9433
Phone
(540) 479-4779
NPI assigned
Sep 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119011358 VA Primary
Occupational Therapist 225X00000X 46TR01200800 NJ

Addresses

Primary practice location

4710 Spotsylvania Pkwy Ste 100
Fredericksburg, VA 22407-9433

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940

Other practice location 1

10 Franklin Tpke
Mahwah, NJ 07430-1304
Phone (973) 557-1506

Other practice location 2

2133 Montgomery Ave
Woodbridge, VA 22191-2655
Phone (703) 494-3817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250904001825 NJ Practitioner - Occupational Therapist in Private Practice 7517469182 Reassigns benefits to 1 organization
I20260331002841 VA Practitioner - Occupational Therapist in Private Practice 7517469182 Reassigns benefits to 2 organizations
I20260407003934 DC Practitioner - Occupational Therapist in Private Practice 7517469182 Reassigns benefits to 1 organization

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
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians
Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

12052 N Shore Dr
Reston, VA 20190-4969
Phone (888) 531-2204

2133 Montgomery Ave
Woodbridge, VA 22191-2655
Phone (888) 531-2204

4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433

70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119011358VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Home Therapy LLC Occupational Therapist CurrentSince May 4, 2025 Accepting new patients
Next Gen Wellness Services LLC CurrentSince Sep 8, 2024 Accepting new patients
Mary Washington Healthcare Physicians Past Accepting new patients
Mary Washington Healthcare Physicians Occupational Therapist Past Accepting new patients

Locations

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

10 Franklin Tpke
Mahwah, NJ 07430
Phone (201) 529-0033

1037 MacArthur Blvd
Unit 723
Mahwah, NJ 07430

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1487489035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 SPOTSYLVANIA PKWY STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079433",
            "telephone_number": "540-479-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "074301304",
            "country_code": "US",
            "telephone_number": "973-557-1506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2133 Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221912655",
            "country_code": "US",
            "telephone_number": "703-494-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHOTA",
        "first_name": "LOUIS",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119011358",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01200800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.