Individual provider Active NPI

Joni Carole Watling, OTR/L

  • Occupational Therapist
  • Richmond, VA
National Provider Identifier
1811464050
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007687 Issued in VA
Practice address
301 N 9TH St
Richmond, VA 23219-1933
Phone
(763) 607-2294
NPI assigned
Oct 25, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104558 MN
Occupational Therapist 225X00000X 0119007687 VA Primary
Human Factors Occupational Therapist 225XH1300X NU
Neurorehabilitation Occupational Therapist 225XN1300X NU
Pediatric Occupational Therapist 225XP0200X NU
Mental Health Occupational Therapist 225XM0800X NU
Environmental Modification Occupational Therapist 225XE0001X NU

Addresses

Primary practice location

301 N 9TH St
Richmond, VA 23219-1933

Mailing address

3104 1St Ave
Richmond, VA 23222
Phone (763) 607-2294

Other practice location 1

3104 1st Ave
Richmond, VA 23222-2322
Phone (763) 607-2294

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
104558MNMDOccupational Therapist
0119007687VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted in Function, LLC Occupational Therapist CurrentSince Feb 24, 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, 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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1811464050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 1ST AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23222",
            "telephone_number": "763-607-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 9TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191933",
            "telephone_number": "763-607-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232222322",
            "country_code": "US",
            "telephone_number": "763-607-2294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATLING",
        "first_name": "JONI",
        "middle_name": "CAROLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104558",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007687",
            "primary": true
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.