Active NPI
Virginia Ekaterina Vanausdall, OTR/L
- Occupational Therapist
- Germantown, TN
National Provider Identifier
1992699854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8052
- Practice address
- 7701 Poplar Ave
Germantown, TN 38138-3904 - Phone
- (901) 752-8444
- NPI assigned
- Jun 5, 2025
- 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 | 8052 | TN | Primary |
Addresses
Primary practice location
7701 Poplar Ave
Germantown, TN 38138-3904
Mailing address
1810 Cooper Dr
Dyersburg, TN 38024-2944
Phone (573) 757-8703
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8052 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1992699854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 COOPER DR",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380242944",
"telephone_number": "573-757-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 POPLAR AVE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-752-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANAUSDALL",
"first_name": "VIRGINIA",
"middle_name": "EKATERINA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "8052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
- Urlogy Ambulatory Surgery Center LLC (Wolf River Surgery Center)
- Urology Group PC
- Daniel Alberto Vaena, MD
- Jennifer Lou Valli, PHD
- Ettienne R. Van Zyl, D.D.S.
- Ari M. Vanderwalde, M.D.
- Noam A Vanderwalde, MD
- Martha Jane Vandyck, DPH
- Anne Katherine Vanlandingham, MPT
- Vascular and Vein Institute of the South, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.