Carrie Holland Alston, OTR
Individual provider Active NPI Occupational Therapist · Charlottesville, VA
NPI 1700102548 · NPPES record last updated Apr 19, 2010
Key facts
- NPI
- 1700102548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119000938 (VA)
- Practice address
- 491 Crestwood Dr
Charlottesville, VA 22903-4869 - Phone
- (434) 971-8889
- NPI assigned
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services LLC
Practice addresses (Care Compare)
3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110214000500 | VA | Practitioner - Occupational Therapist in Private Practice | 4183804792 | Reassigns benefits to 1 organization |
| I20220114000175 | DC | Practitioner - Occupational Therapist in Private Practice | 4183804792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119000938 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119000938 | VA | Yes |
Addresses
Primary practice location
491 Crestwood Dr
Charlottesville, VA 22903-4869
Mailing address
491 Crestwood Dr
Charlottesville, VA 22903-4869
Phone (434) 971-8889
Other names
- Carrie Ann Holland
Other providers in Charlottesville, VA
- Omran Alsalahi
- Omar Alsamman
- Alfadel Alshaibani
- Mohammed Alaa Alshammari
- Amy R. Alson
- Alternative Healing Home Care Services Company
- Noura Abdullah Alturaif
- Marissa Nicole Alvarez
- Raza Alvi
- Mossaed Alyahya
All providers in Charlottesville, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.