Individual provider Active NPI

Elisabeth Grant McLean, MS, OTR-L

  • Occupational Therapist
  • Chantilly, VA
National Provider Identifier
1972627206
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119008317 Issued in VA
Practice address
14901 Bogle Dr Ste 100
Chantilly, VA 20151-1736
Phone
(571) 346-3781
NPI assigned
Mar 19, 2007
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 0119008317 VA Primary

Addresses

Primary practice location

14901 Bogle Dr Ste 100
Chantilly, VA 20151-1736

Mailing address

2527 Oakhampton PL
Herndon, VA 20171-2704
Phone (619) 796-3765

Other practice location 1

1609 E Madison Ave
El Cajon, CA 92019-1046
Phone (619) 588-3166

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119008317VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1972627206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 OAKHAMPTON PL",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712704",
            "telephone_number": "619-796-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 BOGLE DR STE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511736",
            "telephone_number": "571-346-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 E Madison Ave",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920191046",
            "country_code": "US",
            "telephone_number": "619-588-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "ELISABETH",
        "middle_name": "GRANT",
        "credential": "MS, OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.