Individual provider Active NPI

Shobha Tripathi

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1609420892
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119008165 Issued in VA
Practice address
5000 Fairbanks Ave
Alexandria, VA 22311-1246
Phone
(703) 797-3844
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 0119008165 VA Primary

Addresses

Primary practice location

5000 Fairbanks Ave
Alexandria, VA 22311-1246

Mailing address

5110 Columbia Pike Apt 1
Arlington, VA 22204-3258
Phone (469) 655-8881

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL software

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1609420892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 COLUMBIA PIKE APT 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043258",
            "telephone_number": "469-655-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FAIRBANKS AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111246",
            "telephone_number": "703-797-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPATHI",
        "first_name": "SHOBHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "software",
            "affiliation": "N",
            "address_1": "5000 Fairbanks Ave",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223111246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.