Individual provider Active NPI

Julie Elise Scandola, COTA

  • Occupational Therapy Assistant
  • Staunton, VA
National Provider Identifier
1780176149
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131000860 Issued in VA
Practice address
100 Red Oaks Dr Ste 103
Staunton, VA 24401-9158
Phone
(540) 885-7774
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131000860 VA Primary

Addresses

Primary practice location

100 Red Oaks Dr Ste 103
Staunton, VA 24401-9158

Mailing address

678 Ladd Rd
Fishersville, VA 22939-2608
Phone (703) 304-5611

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
0131000860VAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Communication Health Services, 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.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1780176149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 LADD RD",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392608",
            "telephone_number": "703-304-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RED OAKS DR STE 103",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019158",
            "telephone_number": "540-885-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDOLA",
        "first_name": "JULIE",
        "middle_name": "ELISE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.