Active NPI
Andrea Michelle Beltethon, OTR/L
- Occupational Therapist
- Chantilly, VA
National Provider Identifier
1992327704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119008503
- Practice address
- 25017 White Sands Dr
Chantilly, VA 20152-4153 - Phone
- (571) 517-2771
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119008503 | VA | Primary |
Addresses
Primary practice location
25017 White Sands Dr
Chantilly, VA 20152-4153
Mailing address
823 Cobblestone Blvd Apt 204
Fredericksburg, VA 22401-6671
Phone (610) 331-0668
Other practice location 1
59 Extrovert Dr
Charles Town, WV 25414-1365
Phone (610) 331-0668
Other names 1
- Andrea Michelle Wysocki
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrea.wysocki@encompasshealth.com | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1992327704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 COBBLESTONE BLVD APT 204",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224016671",
"telephone_number": "610-331-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25017 WHITE SANDS DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201524153",
"telephone_number": "571-517-2771"
}
],
"practiceLocations": [
{
"address_1": "59 Extrovert Dr",
"address_purpose": "LOCATION",
"city": "Charles Town",
"state": "WV",
"postal_code": "254141365",
"country_code": "US",
"telephone_number": "610-331-0668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELTETHON",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119008503",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrea.wysocki@encompasshealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "300 Park Hill Dr",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224013387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "WYSOCKI",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}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 May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.