Active NPI
Trista M Metzler, OTRL
- Occupational Therapist
- Stafford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0019007187
- Practice address
- 2777 Richmond Hwy Ste 109
Stafford, VA 22554-8323 - Phone
- (403) 188-6155
- Fax
- (540) 318-8619
- NPI assigned
- Feb 4, 2010
- Last updated
- Aug 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR-809 | WY | |
| Occupational Therapist | 225X00000X | 0019007187 | VA | Primary |
Addresses
Primary practice location
2777 Richmond Hwy Ste 109
Stafford, VA 22554-8323
Mailing address
PO Box 791217
Baltimore, MD 21279-1217
Phone (301) 932-4785
Other practice location 1
620 4J Ct
Gillette, WY 82716-4130
Phone (307) 686-2569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2777 Richmond Hwy
Suite 109
Stafford, VA 22554-8323
Phone (540) 318-8615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019007187 | VA | MD | Occupational Therapist |
| OTR-809 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proflex Physical Therapy of Maryland, LLC. | Current | Accepting new patients | |
| Proflex Physical Thearpy of Maryland, LLC | Current | Accepting new patients | |
| North Platte Physical Therapy Services Inc | Past | Accepting new patients | |
| North Platte Physical Therapy Services, Inc. | Past | Accepting new patients | |
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients | |
| William H and Carrie Gottsche Foundation | Past | Accepting new patients |
Locations
2777 Richmond Hwy
Ste 109
Stafford, VA 22554
Phone (540) 318-8615
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1558714824
VA
-
- Physical Medicine & Rehabilitation Physician
- Stafford, VA
- NPI 1700763851
-
- Family Nurse Practitioner
- Riverton, WY
- NPI 1487295846
-
- Physical Therapist
- Gillette, WY
- NPI 1093766859
-
- Physical Therapist
- Douglas, WY
- NPI 1093914111
-
dba Gottsche Rehabilitation Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Thermopolis, WY
- NPI 1558319392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1831421692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791217",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791217",
"telephone_number": "301-932-4785",
"fax_number": "301-932-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 RICHMOND HWY STE 109",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548323",
"telephone_number": "403-188-6155",
"fax_number": "540-318-8619"
}
],
"practiceLocations": [
{
"address_1": "620 4J Ct",
"address_purpose": "LOCATION",
"city": "Gillette",
"state": "WY",
"postal_code": "827164130",
"country_code": "US",
"telephone_number": "307-686-2569",
"fax_number": "307-686-2615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METZLER",
"first_name": "TRISTA",
"middle_name": "M",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR-809",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0019007187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.