Active NPI
Allison Vargas Kennedy, OTR/L
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1639358997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006447
- Practice address
- 1157 First Colonial Rd Ste 201
Virginia Beach, VA 23454-2432 - Phone
- (757) 481-0052
- Fax
- (757) 481-1099
- NPI assigned
- Nov 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 12943 | FL | |
| Occupational Therapist | 225X00000X | OT 12943 | FL | |
| Occupational Therapist | 225X00000X | 0119006447 | VA | Primary |
Addresses
Primary practice location
1157 First Colonial Rd Ste 201
Virginia Beach, VA 23454-2432
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892541100 | Medicaid | FL | |
| Z152T | Other | FL | BCBS |
Other names 1
- Allison Rebecca Vargas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119006447 | VA | MD | Occupational Therapist |
| OT 12943 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1639358997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 FIRST COLONIAL RD STE 201",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542432",
"telephone_number": "757-481-0052",
"fax_number": "757-481-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ALLISON",
"middle_name": "VARGAS",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 12943",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 12943",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892541100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z152T",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "VARGAS",
"middle_name": "REBECCA",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.