Individual provider Active NPI

Ashley Abraham, OTR/L, CLT-UE

  • Occupational Therapist
  • Newport News, VA
National Provider Identifier
1770292013
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007236 Issued in VA
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

Updated by the provider on Nov 15, 2022

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 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

IdentifierTypeStateIssuer
0119007236OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
0119007236VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc PastSince Nov 20, 2022 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.

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.

Verify at the official NPI Registry.