Individual provider Active NPI

Krisztina N Ware, OTD

  • Occupational Therapist
  • Springfield, VA
National Provider Identifier
1669819173
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119003520 Issued in VA
Practice address
7430 Spring Village Dr
Springfield, VA 22150-4446
Phone
(703) 923-4684
Fax
(703) 923-4681
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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 0119003520 VA Primary

Addresses

Primary practice location

7430 Spring Village Dr
Springfield, VA 22150-4446

Mailing address

7430 Spring Village Dr
Springfield, VA 22150-4446
Phone (703) 923-4684

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000350 DC Practitioner - Occupational Therapist in Private Practice 9133506199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro-Vision Therapy Center LLCGroup PAC ID 9436559812, 3 clinicians

Practice addresses (Care Compare)

3204 Tower Oaks Blvd
Suite 450
Rockville, MD 20852-4250
Phone (240) 669-6930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119003520VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Vision Therapy Center LLC CurrentSince Mar 14, 2022 Accepting new patients
Greenspring Village, Inc. Past Accepting new patients

Locations

3204 Tower Oaks Blvd
Ste 450
Rockville, MD 20852
Phone (240) 669-6930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24346/brand/1/csg/1/fhir/r4

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1669819173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 SPRING VILLAGE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504446",
            "telephone_number": "703-923-4684",
            "fax_number": "703-923-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 SPRING VILLAGE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504446",
            "telephone_number": "703-923-4684",
            "fax_number": "703-923-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "KRISZTINA",
        "middle_name": "N",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.