Active NPI
Ava Carole Sturgis
- Occupational Therapist
- Chantilly, VA
National Provider Identifier
1497205371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119 007061
- Practice address
- 4530 Walney Road
Suite 203
Chantilly, VA 20151 - Phone
- (703) 466-5533
- Fax
- (703) 466-5316
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119 007061 | VA | Primary |
Addresses
Primary practice location
4530 Walney Road
Suite 203
Chantilly, VA 20151
Mailing address
4530 Walney Road
Suite 203
Chantilly, VA 20151
Phone (703) 466-5533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119 007061 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wings to Fly Therapy and Play Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Chantilly, VA
- NPI 1518371657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1497205371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 WALNEY ROAD",
"address_2": "SUITE 203",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "20151",
"telephone_number": "703-466-5533",
"fax_number": "703-466-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 WALNEY ROAD",
"address_2": "SUITE 203",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "20151",
"telephone_number": "703-466-5533",
"fax_number": "703-466-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGIS",
"first_name": "AVA",
"middle_name": "CAROLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119 007061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.