Active NPI
Pamela A. Witthaus, OTR/L, CHT
- Occupational Therapist
- Gloucester, VA
National Provider Identifier
1891756722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002323
- Practice address
- 6970 Fox Hunt LN
Gloucester, VA 23061-5394 - Phone
- (804) 694-8111
- Fax
- (804) 694-5574
- NPI assigned
- Mar 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002323 | VA | Primary |
Addresses
Primary practice location
6970 Fox Hunt LN
Gloucester, VA 23061-5394
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Other practice location 1
901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6249
Phone (757) 827-2244
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192945 | Other | VA | BCBS (OCCUPATIONAL THERAPY) |
| 11446180 | Other | VA | CAQH |
| 7596331 | Other | VA | AETNA |
| P00651588 | Other | VA | RAILROAD MEDICARE |
| 1891756722 | Medicaid | VA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1891756722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 FOX HUNT LN",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230615394",
"telephone_number": "804-694-8111",
"fax_number": "804-694-5574"
}
],
"practiceLocations": [
{
"address_1": "901 Enterprise Pkwy",
"address_2": "Suite 900",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236666249",
"country_code": "US",
"telephone_number": "757-827-2244",
"fax_number": "757-282-5874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITTHAUS",
"first_name": "PAMELA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (OCCUPATIONAL THERAPY)",
"identifier": "192945",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11446180",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7596331",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00651588",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891756722",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.