Active NPI
Amber Marie Kelly
- Pediatric Occupational Therapist
- Broadlands, VA
National Provider Identifier
1942708391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- Loudoun County Public Schools
21000 Education CT
Broadlands, VA 20148 - Phone
- (571) 252-1000
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | VA | Primary |
Addresses
Primary practice location
Loudoun County Public Schools
21000 Education CT
Broadlands, VA 20148
Mailing address
PO Box 405
Hamilton, VA 20159-0405
Phone (571) 271-8289
Other practice location 1
7001A Loisdale Rd
Springfield, VA 22150-1904
Phone (703) 971-0602
Other practice location 2
3900 Jermantown Rd Ste 250
Fairfax, VA 22030
Phone (571) 271-8289
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun County Public Schools | Past | Accepting new patients | |
| Exceptional Childrens Center, LLC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatric Occupational Therapist
- Alexandria, VA
- NPI 1558560631
Pediatrics
-
- Local Education Agency (LEA)
- Broadlands, VA
- NPI 1902151863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1942708391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405",
"city": "HAMILTON",
"state": "VA",
"postal_code": "201590405",
"telephone_number": "571-271-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOUDOUN COUNTY PUBLIC SCHOOLS",
"address_2": "21000 EDUCATION CT",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "20148",
"telephone_number": "571-252-1000"
}
],
"practiceLocations": [
{
"address_1": "7001A Loisdale Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221501904",
"country_code": "US",
"telephone_number": "703-971-0602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3900 Jermantown Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "22030",
"country_code": "US",
"telephone_number": "571-271-8289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "AMBER",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2023-05-16",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broadlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.