Organization Active NPI

Northern Virginia Hand Therapy Center

  • Hand Occupational Therapist
  • Ashburn, VA
National Provider Identifier
1750792404
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0119005354 Issued in VA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dana Jill WallaceNPI 1073730636
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1073730636OtherVANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@novahandtherapy.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.