Active NPI
Therese Ann Henry, OTR/L
- Occupational Therapist
- Fredericksburg, VA
National Provider Identifier
1700079332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006065
- Practice address
- 321 Park Hill Dr
Fredericksburg, VA 22401-3375 - Phone
- (540) 446-2654
- Fax
- (540) 656-2755
- NPI assigned
- Aug 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4861700-4201 | UT | |
| Occupational Therapist | 225X00000X | 0119006065 | VA | Primary |
Addresses
Primary practice location
321 Park Hill Dr
Fredericksburg, VA 22401-3375
Mailing address
6453 Tala Drive
Youngstown, OH 44514
Phone (330) 330-2055
Other names 1
- Therese Ann Demechko
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4861700-4201 | UT | MD | Occupational Therapist |
| 0119006065 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1700079332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6453 TALA DRIVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44514",
"telephone_number": "330-330-2055",
"fax_number": "540-656-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 PARK HILL DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013375",
"telephone_number": "540-446-2654",
"fax_number": "540-656-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "THERESE",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "4861700-4201",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "DEMECHKO",
"middle_name": "ANN",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.