Individual provider Active NPI

Fatoumatta K Tunkara, OTD

  • Occupational Therapist
  • Woodbridge, VA
National Provider Identifier
1598428732
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010183 Issued in VA
Practice address
14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone
(703) 490-1112
Fax
(703) 878-8732
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 0119010183 VA Primary

Addresses

Primary practice location

14348 Gideon Dr
Woodbridge, VA 22192-4640

Mailing address

14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone (703) 490-1112

Other practice location 1

285 Beiser Blvd Ste 202
Dover, DE 19904-7804
Phone (302) 747-5995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211025000246 DE Practitioner - Occupational Therapist in Private Practice 5496143463 Reassigns benefits to 1 organization
I20240226002459 VA Practitioner - Occupational Therapist in Private Practice 5496143463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Occupational Therapist CurrentSince Sep 27, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 15, 2024 Accepting new patients
Ati Holdings, LLC Occupational Therapist CurrentSince Sep 27, 2021 Accepting new patients
Centers for Advanced Orthopaedics LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 15, 2024 Accepting new patients
Inova Health Care Services Past Accepting new patients

Locations

285 Beiser Blvd
Ste 202
Dover, DE 19904
Phone (302) 747-5995

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

14348 Gideon Dr
Woodbridge, VA 22192
Phone (703) 490-1112

Organizations & group practices 6

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1598428732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14348 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14348 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Beiser Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199047804",
            "country_code": "US",
            "telephone_number": "302-747-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNKARA",
        "first_name": "FATOUMATTA",
        "middle_name": "K",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.