Audrey Philatre, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119004921 Issued in VA

Practice address

205 S Whiting St Ste 200
Alexandria, VA 22304-3693

Phone

(781) 654-5267

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508024068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE APT 907",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S WHITING ST STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043693",
            "telephone_number": "781-654-5267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Biesterfield Rd",
            "address_2": "#1",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073361",
            "country_code": "US",
            "telephone_number": "847-437-5500 x5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILATRE",
        "first_name": "AUDREY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Pham, M.D.
• Tina Tonga Pham, MD
• Anh-Minh Phan, D.D.S.
• Bachlan Phan, RPH
• Phuong Xuan Phan, DMD
• Tamara Sue Philbin, MS, NCC
• Ryann Phillips, PT
• Kathy Philyaw, PH.D.
• Phoenix Rides LLC
• Kristine Phulesar, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.