Brenda Tejeda, OTR/L
Individual provider Active NPI Occupational Therapist · Fredericksbrg, VA
NPI 1497326532 · NPPES record last updated Aug 13, 2023
Key facts
- NPI
- 1497326532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119009935 (VA)
- Practice address
- 140 Brimley Dr
Fredericksbrg, VA 22406-5103 - Phone
- (540) 752-0111
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025753-01 | NY | MD | Occupational Therapist |
| 0119009935 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5600 | CT | |
| Occupational Therapist | 225X00000X | 025753-01 | NY | |
| Occupational Therapist | 225X00000X | 0119009935 | VA | Yes |
Addresses
Primary practice location
140 Brimley Dr
Fredericksbrg, VA 22406-5103
Mailing address
45 Court St
West Haven, CT 06516-5022
Phone (203) 685-6618
Other providers in Fredericksbrg, VA
- Eve Hope Pendletom
- Karen Pereia Dietz
- Zakia Tanisha Peyton
- Reliable Meds Supplier Inc.
- Jessica M Somma
- The Trauma Informed-Care Center
- Kinsey Tyler
- Ultra Smiles LLC
- Chizoba Uzochukwu
- Virginia Pulmonology and Critical Care LLC
All providers in Fredericksbrg, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.