Individual provider Active NPI

Elizabeth Ashley-Allen Geary, MOT OTR/L

  • Pediatric Occupational Therapist
  • Culpeper, VA
National Provider Identifier
1972874360
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119005303 Issued in VA
Practice address
12512 Alum Springs Rd
Culpeper, VA 22701-5111
Phone
(703) 434-1926
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119005303 VA Primary
Occupational Therapist 225X00000X 0119005303 VA

Addresses

Primary practice location

12512 Alum Springs Rd
Culpeper, VA 22701-5111

Mailing address

12512 Alum Springs Rd
Culpeper, VA 22701-5111
Phone (703) 434-1926

Other identifiers 1

IdentifierTypeStateIssuer
01190053003OtherVASTATE LICENSE BOARD OF MEDICINE

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

LicenseStateTypeSpecialty
0119005303VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Pediatric Therapy Pediatrics CurrentSince May 16, 2021 Accepting new patients

Locations

9673 Main St
Ste A
Fairfax, VA 22031
Phone (703) 503-5300

Organizations & group practices 1

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1972874360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 ALUM SPRINGS RD",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227015111",
            "telephone_number": "703-434-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 ALUM SPRINGS RD",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227015111",
            "telephone_number": "703-434-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY-ALLEN",
        "name_prefix": "Ms.",
        "credential": "MOT OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119005303",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BOARD OF MEDICINE",
            "identifier": "01190053003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.