Elizabeth Ann Stuckey Larocca, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008664 Issued in VA

Practice address

2235 Tacketts Mill Dr Ste C
Woodbridge, VA 22192-3036

Phone

(703) 491-1044

NPI assigned

Sep 24, 2020

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Ann Stuckey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Achievements, LLC

  • Specialist
  • Woodbridge, VA
  • NPI 1720330277
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1700493749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 READING AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112373",
            "telephone_number": "615-829-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 TACKETTS MILL DR STE C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923036",
            "telephone_number": "703-491-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "ELIZABETH",
        "middle_name": "ANN STUCKEY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09071",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STUCKEY",
            "middle_name": "ANN",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenyona Lane
• Sara Lanz, RN
• Jenna E Lapointe, DPT
• Laura Patricia Lara Santos
• Nada Laraki, PA-C
• Zachary Quinn Larson, CSFA
• Janique Lartey
• Courtney Lynne Lashbaugh
• Taher S Lashkeri, MD
• Yovanis Lasso, LMFT

• Occupational Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.