Individual provider Active NPI

Mandi Wolf Ogaard, OTR/L

  • Occupational Therapist
  • Williamsburg, VA
National Provider Identifier
1932435963
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119002785 Issued in VA
Practice address
502 Strawberry Plains Rd Ste D2
Williamsburg, VA 23188-3442
Phone
(757) 524-1951
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119002785 VA Primary

Addresses

Primary practice location

502 Strawberry Plains Rd Ste D2
Williamsburg, VA 23188-3442

Mailing address

3943 W Providence Rd
Williamsburg, VA 23188-2780
Phone (757) 592-5494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000560 VA Practitioner - Occupational Therapist in Private Practice 6002957537 Reassigns benefits to 1 organization
Practice locations: Williamsburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy PLLCGroup PAC ID 2163961798, 2 clinicians

Practice addresses (Care Compare)

122 Tewning Rd
Williamsburg, VA 23188-2640
Phone (757) 524-1951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119002785VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy, PLLC Occupational Therapist CurrentSince Mar 4, 2024 Accepting new patients
Bayada Home Health Care, Inc. Past Accepting new patients

Locations

122 Tewning Rd
Williamsburg, VA 23188
Phone (757) 524-1951

502 Strawberry Plains Rd
Ste D2
Williamsburg, VA 23188
Phone (757) 524-1951

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.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1932435963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 W PROVIDENCE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882780",
            "telephone_number": "757-592-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 STRAWBERRY PLAINS RD STE D2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231883442",
            "telephone_number": "757-524-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGAARD",
        "first_name": "MANDI",
        "middle_name": "WOLF",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.