Jenna St Aubin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009811 Issued in VA

Practice address

2841 Hartland Rd Ste 403
Falls Church, VA 22043-3500

Phone

(703) 646-2250

Fax

(703) 991-5649

NPI assigned

Mar 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Work Rehab Center, LLC

  dba APT Virginia, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1548676307

  Occupational Therapist

  NPD
• Allied Health Solutions LLC

  • Physical Therapist
  • Falls Church, VA
  • NPI 1720453517

  Occupational Therapist

  NPD
• Proactive Hand and Physical Therapy

  • Physical Therapy Clinic/Center
  • Rockville, MD
  • NPI 1134442783
  NPD
• Proactive Hand and Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Greenbelt, MD
  • NPI 1316769177
  NPD
• Orthopedic Injury Care of Virginia

  • Medical Specialty Clinic/Center
  • Richmond, VA
  • NPI 1952029035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1851978811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2901",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221162901",
            "telephone_number": "703-646-2250",
            "fax_number": "703-991-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD STE 403",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-646-2250",
            "fax_number": "703-991-5649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46090 Lake Center Plz Ste 303",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201655879",
            "country_code": "US",
            "telephone_number": "571-771-3130",
            "fax_number": "703-991-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST AUBIN",
        "first_name": "JENNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009811",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "0119009811",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017677340001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sprout ABA Solutions
• Divya C Sridharan, MD
• Anjuli Srivastava, M.D.
• Meena Srivastava, MD
• Tanu Srivastava, P.T.
• Jack A Stabile, MD
• Cameron Frances Stadlin, MD
• Deborah Christine Stafford, CSA
• Lara Mari Stallard, CRNA
• Michael Deane Stamatakos, M.D.

• Occupational Therapist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.