Active NPI
Northern Virginia Hand Therapy Center
- Hand Occupational Therapist
- Ashburn, VA
National Provider Identifier
1750792404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 0119005354
- Legal business name
- NORTHERN VIRGINIA HAND THERAPY CENTER
- Practice address
- 20925 Professional Plaza
Suite 300
Ashburn, VA 20147 - Phone
- (703) 544-7171
- Fax
- (703) 997-4450
- NPI assigned
- May 15, 2014
- Last updated
- Dec 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Jill Wallace
- Title
- Owner
- Phone
- (703) 544-7171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 0119005354 | VA | |
| Hand Occupational Therapist | 225XH1200X | 0119005354 | VA | Primary |
Addresses
Primary practice location
20925 Professional Plaza
Suite 300
Ashburn, VA 20147
Mailing address
20925 Professional Plaza
Suite 300
Ashburn, VA 20147
Phone (703) 544-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073730636 | Other | VA | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@novahandtherapy.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Ashburn, VA
- NPI 1073730636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607472000000",
"number": "1750792404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20925 PROFESSIONAL PLAZA",
"address_2": "SUITE 300",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-544-7171",
"fax_number": "703-997-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20925 PROFESSIONAL PLAZA",
"address_2": "SUITE 300",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-544-7171",
"fax_number": "703-997-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VIRGINIA HAND THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-15",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "JILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-544-7171"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "0119005354",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "VA",
"license": "0119005354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1073730636",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@novahandtherapy.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hillary@novahandtherapy.com",
"address_1": "20925 Professional Plaza",
"address_2": "Suite 300",
"city": "Ashburn",
"state": "VA",
"country_code": "US",
"postal_code": "20147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.