Active NPI
Janene Patricia Phillips, OTR/L
- Pediatric Occupational Therapist
- Stafford, VA
National Provider Identifier
1831382571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0119004330
- Practice address
- 2604 Jefferson Davis Hwy
Stafford, VA 22554-5011 - Phone
- (540) 657-1423
- Fax
- (540) 657-1424
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0119004330 | VA | Primary |
Addresses
Primary practice location
2604 Jefferson Davis Hwy
Stafford, VA 22554-5011
Mailing address
10 Sturbridge Lane
Stafford, VA 22554
Phone (540) 659-3810
Other names 1
- Mrs. Janene Patricia Benson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119004330 | VA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Incorporated | Pediatrics | 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": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1831382571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 STURBRIDGE LANE",
"city": "STAFFORD",
"state": "VA",
"postal_code": "22554",
"telephone_number": "540-659-3810",
"fax_number": "540-659-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 JEFFERSON DAVIS HWY",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225545011",
"telephone_number": "540-657-1423",
"fax_number": "540-657-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JANENE",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "VA",
"license": "0119004330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANENE",
"last_name": "BENSON",
"middle_name": "PATRICIA",
"prefix": "MRS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.