Individual provider Active NPI

Michaella R Tran, OT

  • Occupational Therapist
  • Virginia Beach, VA
National Provider Identifier
1669108320
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119009975 Issued in VA
Practice address
3509 Virginia Beach Blvd
Virginia Beach, VA 23452-4421
Phone
(757) 261-4475
NPI assigned
Jul 26, 2022
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119009975 VA Primary
Pediatric Occupational Therapist 225XP0200X 476482 OR

Addresses

Primary practice location

3509 Virginia Beach Blvd
Virginia Beach, VA 23452-4421

Mailing address

3509 Virginia Beach Blvd
Virginia Beach, VA 23452-4421
Phone (757) 261-4475

Other practice location 1

4870 Haygood Rd
Virginia Beach, VA 23455-5300
Phone (336) 653-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725004236 VA Practitioner - Occupational Therapist in Private Practice 0749797694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119009975VAMDOccupational Therapist
476482ORMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Occupational Therapist CurrentSince May 12, 2025 Accepting new patients
Sentara Therapy Solutions, LLC Occupational Therapist CurrentSince May 12, 2025 Accepting new patients

Locations

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

3509 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 261-4475

629 Phoenix Dr
Ste 115
Virginia Beach, VA 23452
Phone (757) 261-4475

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1669108320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524421",
            "telephone_number": "757-261-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524421",
            "telephone_number": "757-261-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4870 Haygood Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234555300",
            "country_code": "US",
            "telephone_number": "336-653-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHAELLA",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009975",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "476482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.