Organization Active NPI

Enabling Wellness, PLLC

  • Occupational Therapist
  • Stone Ridge, VA
National Provider Identifier
1578165932
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ENABLING WELLNESS, PLLC
Practice address
42020 Village Center Plaza
Ste 120 PMB 1003
Stone Ridge, VA 20105
Phone
(571) 206-1616
Fax
(571) 934-4029
NPI assigned
Nov 11, 2020
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Sierra Taylor Wolf, OTD, OTR/LNPI 1366043168
Title
Owner
Phone
(850) 374-1731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Neurorehabilitation Occupational Therapist 225XN1300X NU
Home Health Agency 251E00000X NU
Physical Rehabilitation Occupational Therapist 225XP0019X NU
In Home Supportive Care Agency 253Z00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

42020 Village Center Plaza
Ste 120 PMB 1003
Stone Ridge, VA 20105

Mailing address

42020 Village Center Plaza
Ste 120 PMB 1003
Stone Ridge, VA 20105
Phone (571) 206-1616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1578165932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLAZA",
            "address_2": "STE 120 PMB 1003",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "20105",
            "telephone_number": "571-206-1616",
            "fax_number": "571-934-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLAZA",
            "address_2": "STE 120 PMB 1003",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "20105",
            "telephone_number": "571-206-1616",
            "fax_number": "571-934-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLING WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR WOLF",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-374-1731",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.