Active NPI
Nasonja Tyler Pinder, OTR
- Occupational Therapist
- Forest, VA
National Provider Identifier
1922674878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005466
- Practice address
- 1096 Gables Dr Apt 206
Forest, VA 24551-4805 - Phone
- (301) 996-3902
- NPI assigned
- Jun 1, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4655 | SC | |
| Occupational Therapist | 225X00000X | 0119005466 | VA | Primary |
Addresses
Primary practice location
1096 Gables Dr Apt 206
Forest, VA 24551-4805
Mailing address
1096 Gables Dr Apt 206
Forest, VA 24551-4805
Phone (301) 996-3902
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 |
|---|---|---|---|
| 4655 | SC | MD | Dentist |
| 0119005466 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1922674878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 GABLES DR APT 206",
"city": "FOREST",
"state": "VA",
"postal_code": "245514805",
"telephone_number": "301-996-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 GABLES DR APT 206",
"city": "FOREST",
"state": "VA",
"postal_code": "245514805",
"telephone_number": "301-996-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINDER",
"first_name": "NASONJA",
"middle_name": "TYLER",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4655",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.