Active NPI
Ashley Abraham, OTR/L, CLT-UE
- Occupational Therapist
- Newport News, VA
National Provider Identifier
1770292013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119007236
- Practice address
- 12200 Warwick Blvd Ste 170
Newport News, VA 23601-2344 - Phone
- (757) 534-6127
- Fax
- (757) 534-6151
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007236 | VA | Primary |
Addresses
Primary practice location
12200 Warwick Blvd Ste 170
Newport News, VA 23601-2344
Mailing address
12200 Warwick Blvd Ste 170
Newport News, VA 23601-2344
Phone (757) 534-6127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119007236 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://mychart.riversideonline.com | Health Information Exchange (HIE) | Riverside Regional Medical Center |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119007236 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Smithfield, VA
- NPI 1366259863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1770292013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD STE 170",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012344",
"telephone_number": "757-534-6127",
"fax_number": "757-534-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD STE 170",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012344",
"telephone_number": "757-534-6127",
"fax_number": "757-534-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "OTR/L, CLT-UE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS",
"identifier": "0119007236",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://mychart.riversideonline.com",
"affiliation": "Y",
"endpointDescription": "Medical communication site",
"affiliationName": "Riverside Regional Medical Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "10510 Jefferson Ave Ste B",
"city": "Newport News",
"state": "VA",
"country_code": "US",
"postal_code": "236013102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.