Individual provider Active NPI

Maria Cristela Platero Barrera, COTA/L

  • Occupational Therapy Assistant
  • Fairfax, VA
National Provider Identifier
1548754765
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131001548 Issued in VA
Practice address
3900 Jermantown Rd Ste 250
Fairfax, VA 22030-4946
Phone
(703) 910-5006
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131001548 VA Primary

Addresses

Primary practice location

3900 Jermantown Rd Ste 250
Fairfax, VA 22030-4946

Mailing address

14351 Saguaro PL Ste 250
Centreville, VA 20121-2263
Phone (703) 254-9846

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
0131001548VAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Solutions LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1548754765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14351 SAGUARO PL STE 250",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212263",
            "telephone_number": "703-254-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 250",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304946",
            "telephone_number": "703-910-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATERO BARRERA",
        "first_name": "MARIA",
        "middle_name": "CRISTELA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001548",
            "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 Jun 20, 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.