Active NPI
Elise Jernigan, OTD
- Occupational Therapist
- Fairfax, VA
National Provider Identifier
1508790973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119011541
- Practice address
- 9229 Arlington Blvd
Fairfax, VA 22031-2550 - Phone
- (703) 782-8972
- NPI assigned
- Jun 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 0119011541 | VA | Primary |
Addresses
Primary practice location
9229 Arlington Blvd
Fairfax, VA 22031-2550
Mailing address
1340 21St St NW
Washington, DC 20036-1568
Phone (757) 320-8496
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1508790973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 21ST ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361568",
"telephone_number": "757-320-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9229 ARLINGTON BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312550",
"telephone_number": "703-782-8972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "ELISE",
"name_prefix": "Dr.",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-10",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119011541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.