Active NPI
Jade Wright
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1790260354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010120
- Practice address
- 1400 Fordham Dr
Virginia Beach, VA 23464-5368 - Phone
- (757) 361-3951
- NPI assigned
- Sep 30, 2018
- Reactivated
- Sep 14, 2023
- 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 | 0119010120 | VA | Primary |
Addresses
Primary practice location
1400 Fordham Dr
Virginia Beach, VA 23464-5368
Mailing address
1400 Fordham Dr
Virginia Beach, VA 23464-5368
Phone (757) 361-3951
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations in Learning, PC | Behavior Technician | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1790260354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FORDHAM DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645368",
"telephone_number": "757-361-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FORDHAM DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645368",
"telephone_number": "757-361-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-30",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"deactivation_date": "2023-09-05",
"reactivation_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.