Individual provider Active NPI

Aziz Nawabi, COTA/L

  • Occupational Therapy Assistant
  • Reston, VA
National Provider Identifier
1730438508
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
1778 Fountain Dr
Reston, VA 20190-3390
Phone
(571) 926-9398
NPI assigned
Sep 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary

Addresses

Primary practice location

1778 Fountain Dr
Reston, VA 20190-3390

Mailing address

1778 Fountain Dr
Reston, VA 20190-3390
Phone (571) 926-9398

Other names 1

  • Mr. Azizullah Nawabi Other name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1730438508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 FOUNTAIN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903390",
            "telephone_number": "571-926-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 FOUNTAIN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903390",
            "telephone_number": "571-926-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWABI",
        "first_name": "AZIZ",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZIZULLAH",
            "last_name": "NAWABI",
            "prefix": "MR.",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.