Individual provider Active NPI

Karen Wawrzyn, MS OTL CHT

  • Occupational Therapist
  • North Chesterfield, VA
National Provider Identifier
1750346185
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
119000452 Issued in VA
Practice address
1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067
Phone
(804) 560-5595
Fax
(804) 560-9029
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 119000452 VA Primary

Addresses

Primary practice location

1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067

Mailing address

7650 E Parham Rd Ste 100
Richmond, VA 23294-4376
Phone (804) 282-6338

Other identifiers 5

IdentifierTypeStateIssuer
P00307772OtherVARAILROAD MEDICARE
010251648MedicaidVA
4478865OtherVAAETNA
192945OtherVABCBS OCCUPATIONAL THERAPY
0235836OtherVADEPT OF LABOR & INDUSTRIES STATE OF WASHINGTON

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwawrzyn7049@direct.orthovirginia.com Other

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
119000452VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1750346185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944376",
            "telephone_number": "804-282-6338",
            "fax_number": "804-285-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZYN",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "MS OTL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "119000452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00307772",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010251648",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4478865",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OCCUPATIONAL THERAPY",
            "identifier": "192945",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES STATE OF WASHINGTON",
            "identifier": "0235836",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwawrzyn7049@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Wawrzyn direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1115 Boulders Pkwy Ste 200",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232254067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.