Active NPI
Connections Achievement and Therapy Center, Corp
- Occupational Therapist
- Charlottesville, VA
National Provider Identifier
1518268630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002325
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryLocations
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.