Individual provider Active NPI

Jennifer Parker, COTA/L

  • Occupational Therapy Assistant
  • Richmond, VA
National Provider Identifier
1578253373
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131002797 Issued in VA
Practice address
4840 Waller Rd # 200
Richmond, VA 23230-2912
Phone
(804) 893-5010
Fax
(804) 412-8105
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 0131002797 VA Primary

Addresses

Primary practice location

4840 Waller Rd # 200
Richmond, VA 23230-2912

Mailing address

7404 Pennbrook CT
Chesterfield, VA 23832-8276
Phone (801) 949-2184

Other practice location 1

2800 Polo Pkwy
Midlothian, VA 23113-1454
Phone (804) 379-2800

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
0131002797VAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1578253373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 PENNBROOK CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328276",
            "telephone_number": "801-949-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 WALLER RD # 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302912",
            "telephone_number": "804-893-5010",
            "fax_number": "804-412-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Polo Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231131454",
            "country_code": "US",
            "telephone_number": "804-379-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.