NPIMap

Organization Active NPI

Crippled Children'S Hospital

  • Occupational Therapist
  • Glen Allen, VA
National Provider Identifier
1487791828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
H1842 Issued in VA
Legal business name
CRIPPLED CHILDREN'S HOSPITAL
Practice address
10124 W Broad St Ste K
Children'S Hospital Therapy Center
Glen Allen, VA 23060-3330
Phone
(804) 273-6656
Fax
(804) 273-6612
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Samuel G Weidman
Title
Vice President & Cfo
Phone
(804) 321-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X H1842 VA Primary

Addresses

Primary practice location

10124 W Broad St Ste K
Children'S Hospital Therapy Center
Glen Allen, VA 23060-3330

Mailing address

2924 Brook Rd
Credentialing Dept
Richmond, VA 23220-1215
Phone (804) 321-7474

Other names 1

  • Children's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

10124 W Broad St
Ste K
Glen Allen, VA 23060
Phone (804) 273-6656

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487791828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "address_2": "CREDENTIALING DEPT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-321-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 W BROAD ST STE K",
            "address_2": "CHILDREN'S HOSPITAL THERAPY CENTER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603330",
            "telephone_number": "804-273-6656",
            "fax_number": "804-273-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIPPLED CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIDMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "804-321-7474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "H1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

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