Organization Active NPI

Connections Achievement and Therapy Center, Corp

  • Occupational Therapist
  • Charlottesville, VA
National Provider Identifier
1518268630
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119002325 Issued in VA
Legal business name
CONNECTIONS ACHIEVEMENT AND THERAPY CENTER, CORP
Practice address
375 Four Leaf LN
Suite 202
Charlottesville, VA 22903-6905
Phone
(434) 823-2199
Fax
(434) 823-7099
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Brice Jackson, DC
Title
Owner/Ceo
Phone
(434) 823-2199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 0119002325 VA Primary

Addresses

Primary practice location

375 Four Leaf LN
Suite 202
Charlottesville, VA 22903-6905

Mailing address

375 Four Leaf LN
Suite 202
Charlottesville, VA 22903-6905
Phone (434) 823-2199

National Provider Directory

National Provider Directory

Locations

375 Four Leaf Ln
Ste 202
Charlottesville, VA 22903
Phone (434) 205-4909

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1518268630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 FOUR LEAF LN",
            "address_2": "SUITE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036905",
            "telephone_number": "434-823-2199",
            "fax_number": "434-823-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FOUR LEAF LN",
            "address_2": "SUITE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036905",
            "telephone_number": "434-823-2199",
            "fax_number": "434-823-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS ACHIEVEMENT AND THERAPY CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRICE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "434-823-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.