Isabella Noura Hanna, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002808 Issued in VA

Practice address

11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475

Phone

(703) 237-2219

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Axiom Link, Inc.

  dba Achieve Beyond

  • Rehabilitation Clinic/Center
  • Fairfax, VA
  • NPI 1174852867
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1619679370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25291 KILKEEN WAY",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053073",
            "telephone_number": "541-961-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 WAPLES MILL RD STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307475",
            "telephone_number": "703-237-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ISABELLA",
        "middle_name": "NOURA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavell Tyre Handy, DC
• Reza Hangval, DDS
• Kelly Ann Hanik, MOTR/L
• Lori Hanline, AU.D.
• Laurel Hanlon, MSW
• Justin Connor Hanna, PA-C
• Meade Jones Hanna, LCSW-C
• Pamela Bechard Hanner
• Jennifer Catherine Hannett
• Katherine Hannon, LCPC, NCC

• Occupational Therapy Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.