Individual provider Active NPI

Ellen Witschey, OTR

  • Occupational Therapist
  • Winchester, VA
National Provider Identifier
1518282649
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119002874 Issued in VA
Practice address
322 Tudor Dr
Winchester, VA 22603-4245
Phone
(540) 722-2833
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119002874 VA Primary

Addresses

Primary practice location

322 Tudor Dr
Winchester, VA 22603-4245

Mailing address

322 Tudor Dr
Winchester, VA 22603-4245
Phone (540) 722-2833

Other names 1

  • Ellen Witschey Deroberts Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0119002874VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1518282649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 TUDOR DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034245",
            "telephone_number": "540-722-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 TUDOR DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034245",
            "telephone_number": "540-722-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITSCHEY",
        "first_name": "ELLEN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "DEROBERTS",
            "middle_name": "WITSCHEY",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.