Individual provider Active NPI

Audra Elizabeth Horton, OT

  • Occupational Therapist
  • Lebanon, VA
National Provider Identifier
1972484822
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119011119 Issued in VA
Practice address
635 W Main St
Lebanon, VA 24266-3809
Phone
(276) 415-9880
Fax
(276) 208-9045
NPI assigned
Sep 9, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 0119011119 VA Primary

Addresses

Primary practice location

635 W Main St
Lebanon, VA 24266-3809

Mailing address

635 W Main St
Lebanon, VA 24266-3809
Phone (276) 415-9880

Other practice location 1

113 Short St Ste 7
Pounding Mill, VA 24637-4278
Phone (276) 415-9880 ext. 59880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251108000607 VA Practitioner - Occupational Therapist in Private Practice 7012407836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Warner Subdivision Rd
Lebanon, VA 24266-5882

635 W Main St
Lebanon, VA 24266-3809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119011119VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Play Hut PLLC Occupational Therapist CurrentSince Oct 8, 2025 Accepting new patients
Helping Hands Home Health Care, Inc. PastSince Oct 8, 2025 Accepting new patients

Locations

635 W Main St
Lebanon, VA 24266
Phone (276) 415-9880

113 Short St
Ste 7
Pounding Mill, VA 24637
Phone (276) 415-9880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1972484822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663809",
            "telephone_number": "276-415-9880",
            "fax_number": "276-208-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663809",
            "telephone_number": "276-415-9880",
            "fax_number": "276-208-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Short St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Pounding Mill",
            "state": "VA",
            "postal_code": "246374278",
            "country_code": "US",
            "telephone_number": "276-415-9880 x59880",
            "fax_number": "276-208-9045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "AUDRA",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119011119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.