Active NPI
Jacob Xavier See, COTA
- Occupational Therapy Assistant
- Lovettsville, VA
National Provider Identifier
1831801190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131002771
- Practice address
- 38416 Morrisonville Rd
Lovettsville, VA 20180-3102 - Phone
- (703) 298-5319
- NPI assigned
- Dec 19, 2022
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 0131002771 | VA | Primary |
Addresses
Primary practice location
38416 Morrisonville Rd
Lovettsville, VA 20180-3102
Mailing address
5055 Seminary Rd Apt 1132
Alexandria, VA 22311-2017
Phone (703) 731-3579
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 |
|---|---|---|---|
| 0131002771 | VA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ride-on Ranch Equine Assisted Therapies | 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.
-
- Health Service Clinic/Center
- Lovettsville, VA
- NPI 1013442821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1831801190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 SEMINARY RD APT 1132",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223112017",
"telephone_number": "703-731-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38416 MORRISONVILLE RD",
"city": "LOVETTSVILLE",
"state": "VA",
"postal_code": "201803102",
"telephone_number": "703-298-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEE",
"first_name": "JACOB",
"middle_name": "XAVIER",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131002771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lovettsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.