Brains That Bewonder Occupational Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BRAINS THAT BEWONDER OCCUPATIONAL THERAPY, PLLC

Practice address

4004 Genesee PL Ste 209
Lake Ridge, VA 22192-8305

Phone

(703) 987-5148

NPI assigned

Aug 7, 2026

Last updated

Aug 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taryn Nichelle Pettigrew, OTR/LNPI 1679296594

Title

Occupational Therapist

Phone

(703) 987-5148

Specialties & licenses 1

Addresses

Locations

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.

• Taryn Nichelle Pettigrew, OT

  • Occupational Therapist
  • Lake Ridge, VA
  • NPI 1679296594

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1760306120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15061 GALAPAGOS PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935842",
            "telephone_number": "703-987-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL STE 209",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221928305",
            "telephone_number": "703-987-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINS THAT BEWONDER OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "703-987-5148",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Deabbe Bagley, PH.D.
• Marvi Ibrahim Baloch
• Margaret W Becker, LCSW,CSAC
• Ursula Benton, COTA
• Collins Kwabena Boateng, PA-C
• Matthew Stuart Broudy, PHD
• Kendra Burnside, LCSW
• James H Chung, DPM
• Monique Michelle Colley, PA-C
• Anne Marie Compton, D.D.S.

• Pediatric Occupational Therapist in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Pediatric Occupational Therapist in Virginia

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