Individual provider Active NPI

Elizabeth Ann Medway, MSOTR/L

  • Hand Occupational Therapist
  • Virginia Beach, VA
National Provider Identifier
1871947481
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0119006070 Issued in VA
Practice address
1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004
Phone
(757) 422-8476
Fax
(757) 425-8476
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006070 VA
Hand Occupational Therapist 225XH1200X 0119006070 VA Primary

Addresses

Primary practice location

1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004

Mailing address

1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004
Phone (757) 422-8476

Other practice location 1

1975 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456
Phone (757) 368-3284

Other identifiers 1

IdentifierTypeStateIssuer
C05501OtherVAMEDICARE GROUP

Other names 1

  • Ms. Elizabeth Ann Mackie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505002008 VA Practitioner - Occupational Therapist in Private Practice 0749589182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119006070VAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. Occupational Therapist CurrentSince Sep 9, 2019 Accepting new patients
Orthovirginia, Inc CurrentSince Sep 9, 2019 Accepting new patients
Orthovirginia Inc Occupational Therapist Current Accepting new patients
Vann-Virginia Center for Orthopaedics PC Hand Past Accepting new patients
Vann-Virginia Center for Orthopaedics PC Hand Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1849 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 422-8476

Organizations & group practices 5

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1871947481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 OLD DONATION PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543004",
            "telephone_number": "757-422-8476",
            "fax_number": "757-425-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 OLD DONATION PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543004",
            "telephone_number": "757-422-8476",
            "fax_number": "757-425-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Glenn Mitchell Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23456",
            "country_code": "US",
            "telephone_number": "757-368-3284",
            "fax_number": "757-368-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDWAY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006070",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119006070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C05501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MACKIE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.

Verify at the official NPI Registry.