Chanele Elizabeth Andersen
Individual provider Active NPI Hand Occupational Therapist · Ashburn, VA
NPI 1780177642 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1780177642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- 0119007664 (VA)
- Practice address
- 20925 Professional PLZ Ste 300
Ashburn, VA 20147-3403 - Phone
- (703) 544-7171
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007664 | VA | |
| Hand Occupational Therapist | 225XH1200X | 0119007664 | VA | Yes |
Addresses
Primary practice location
20925 Professional PLZ Ste 300
Ashburn, VA 20147-3403
Mailing address
14235 Legend Glen CT
Gainesville, VA 20155-1494
Phone (703) 606-8419
Other providers in Ashburn, VA
- Shilpa H Amin
- Amir Ahmadiyar DC PC II
- Amit B. Patel, DDS, PC
- Sumit Anand
- Anchor Behavior Consulting
- Nicole Patricia Andrewes
- Kelly Alice Andrews
- Dianne H Andruzzi
- Meghan Anezin
- Angels Health Care, Inc.
All providers in Ashburn, VA · Hand Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.