Organization Active NPI

Golden Weaver LLC

  • Occupational Therapist
  • Fairfax, VA
National Provider Identifier
1740116599
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GOLDEN WEAVER LLC
Practice address
3915 Blenheim Blvd Ste 21C
Fairfax, VA 22030-2432
Phone
(571) 307-4248
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Kayla Sharma, O.T.
Title
Owner Provider Authorized Official
Phone
(571) 307-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3915 Blenheim Blvd Ste 21C
Fairfax, VA 22030-2432

Mailing address

3915 Blenheim Blvd Ste 21C
Fairfax, VA 22030-2432
Phone (571) 307-4248

Other names 1

  • Spring Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

3915 Blenheim Blvd
Ste 21C
Fairfax, VA 22030
Phone (703) 679-7525

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1740116599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 BLENHEIM BLVD STE 21C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302432",
            "telephone_number": "571-307-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BLENHEIM BLVD STE 21C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302432",
            "telephone_number": "571-307-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WEAVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER PROVIDER AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "571-307-4248",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.