Active NPI
Daneshia Michelle Kidd, OT
- Occupational Therapist
- Lorton, VA
National Provider Identifier
1881338952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010003
- Practice address
- 9010 Lorton Station Blvd Ste 240
Lorton, VA 22079-4795 - Phone
- (703) 337-1550
- NPI assigned
- Apr 25, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 0119010003 | VA | Primary |
Addresses
Primary practice location
9010 Lorton Station Blvd Ste 240
Lorton, VA 22079-4795
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119010003 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab OT MD LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
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.
-
- Physical Therapist
- Winchester, VA
- NPI 1609814755
DC, Occupational Therapist
-
- Occupational Therapist
- Timonium, MD
- NPI 1073850343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1881338952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 LORTON STATION BLVD STE 240",
"city": "LORTON",
"state": "VA",
"postal_code": "220794795",
"telephone_number": "703-337-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "DANESHIA",
"middle_name": "MICHELLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010003",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "3925 Downs Dr",
"city": "Chantilly",
"state": "VA",
"country_code": "US",
"postal_code": "201513308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.