Active NPI
Susan Ngatia, OTR
- Occupational Therapist
- Herndon, VA
National Provider Identifier
1689196529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119-007242
- Practice address
- 2978 Centerville Rd.
Herndon, VA 20171 - Phone
- (703) 934-5000
- NPI assigned
- Jul 12, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119-007242 | VA | Primary |
Addresses
Primary practice location
2978 Centerville Rd.
Herndon, VA 20171
Mailing address
2978 Centreville Rd
Herndon, VA 20171-6253
Phone (703) 934-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9207 Arlington Blvd
Fairfax, VA 22031-2501
Phone (855) 678-8887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119-007242 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab VA PLLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services LLC | Occupational Therapist | Current | Accepting new patients |
| Prestige Rehab LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
2807 N Parham Rd
Ste 320
Richmond, VA 23294
Phone (571) 275-5935
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Winchester, VA
- NPI 1609814755
DC, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689196529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 CENTREVILLE RD",
"city": "HERNDON",
"state": "VA",
"postal_code": "201716253",
"telephone_number": "703-934-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2978 CENTERVILLE RD.",
"city": "HERNDON",
"state": "VA",
"postal_code": "20171",
"telephone_number": "703-934-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGATIA",
"first_name": "SUSAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119-007242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.