Individual provider Active NPI

Susan Ngatia, OTR

  • Occupational Therapist
  • Herndon, VA
National Provider Identifier
1689196529
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119-007242 Issued in VA
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

Updated by the provider on Jul 21, 2022

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 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, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230830001120 DC Practitioner - Occupational Therapist in Private Practice 4486017084 Reassigns benefits to 3 organizations
I20230830001401 VA Practitioner - Occupational Therapist in Private Practice 4486017084 Reassigns benefits to 2 organizations

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
Prestige Rehab VA PLLCGroup PAC ID 1951841758, 9 clinicians

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

LicenseStateTypeSpecialty
0119-007242VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab VA PLLC Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients
Fox Rehabilitation Services LLC Occupational Therapist CurrentSince Aug 1, 2023 Accepting new patients
Prestige Rehab LLC Occupational Therapist CurrentSince Nov 25, 2024 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.

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.

Verify at the official NPI Registry.