DOMINIQUE WILSON


Address: 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016
Phone: 7034916167

DOMINIQUE WILSON (NPI# 1467081109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467081109
Entity Type Individual
Full Name DOMINIQUE WILSON
Credential OTR/L
Practice Address 14906 Jefferson Davis Hwy
Woodbridge
VA 22191-4016
Mailing Address 8191 Strawberry Ln Apt 103
Falls Church
VA 22042-1043
Practice Telephone 7034916167
Mailing Telephone 9089386206
Enumeration Date 2020-04-04
Last Update Date 2020-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 0119-008493 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DOMINIQUE WILSON

NPI Name Taxonomy Address Enumeration
1407345192 Dominique Marie Wilson Counselor 785 Wall St # 200, O Fallon, IL 62269-1959 2018-05-08
1831478023 Dominique Lashan Wilson Counselor 1099 S Broadway, Ste. 260 and 280, Lexington, KY 40504-3030 2011-08-05
1518567874 Dominique Wilson Midwife 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 2020-10-27
1225502065 Dominique Wilson Physical Therapist 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 2019-01-15
1750867511 Dominique Wilson Developmental Therapist 1017 Fayetteville Rd Se # B, Atlanta, GA 30316-2932 2018-07-16
1295019909 Dominique Renee Wilson Nurse Practitioner 1380 River Bend Dr, Dallas, TX 75247-4914 2011-09-30

Office Location

Street Address 14906 JEFFERSON DAVIS HWY
City WOODBRIDGE
State VA
Zip Code 22191-4016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851315261 Ruxton Health Care IIi, LLC Skilled Nursing Facility 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2006-07-27
1316505472 Jennifer Dawn Varnell Occupational Therapist 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2019-06-04
1528542313 Tasha Moody Occupational Therapist 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2018-09-18
1346726890 Hinakausar Jahangirpurwala Occupational Therapy Assistant 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2018-07-18
1225548258 Latiesha Jasmin Camacho Physical Therapy Assistant 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2017-10-04
1437608049 Hannah Michelle Huffman Occupational Therapist 14906 Jefferson Davis Hwy, Envoy of Woodbridge, Woodbridge, VA 22191-4016 2016-09-23
1922470004 Laura Lee Gant Physical Therapist 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2015-10-28
1861885923 Elizabeth Akpati Speech-Language Pathologist 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2015-03-13
1194030312 Christina Gayle Kovach Occupational Therapy Assistant 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2010-08-12
1205089240 Envoy of Woodbridge, LLC Skilled Nursing Facility 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 2008-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861021131 Bailey Orthodontics Pllc Dentist 16446 Navigation Drive, Woodbridge, VA 22191 2020-04-07
1417589326 Meseret Abate Registered Nurse 15608 William Bayliss Ct, Woodbridge, VA 22191 2020-02-08
1992279327 Velocity Urgent Care, LLC Clinic/Center 16422 Navigation Dr, Woodbridge, VA 22191 2019-01-18
1821577263 Maame Gyasiwah Banahene Registered Nurse 1812 Featherstone Rd, Woodbridge, VA 22191 2018-08-07
1235617507 Yaw P. Baidoo Nutritionist 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 2018-07-30
1477048452 Anahita Abazari Optometrist 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 2018-06-22
1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
1568991974 Patrice Whilby Behavior Technician 2264 York Drive Apt 302, Woodbridge, VA 22191 2017-06-08
1508395245 Maria Theresa Lee Registered Nurse 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 2017-06-07
1861943763 A1 Home Care, LLC Home Health 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 2016-10-17
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477153732 Laurie Ann Pino Occupational Therapist 900 Route 9 N Ste 410, Woodbridge, NJ 07095-1003 2020-10-27
1609420280 Caitlin Malloy Occupational Therapist 15 Research Dr Ste 1, Woodbridge, CT 06525-2356 2019-07-31
1164797544 Juanita Kumari Verma Occupational Therapist 12200 Derriford Ct, Woodbridge, VA 22192-5125 2012-03-19
1720313505 Cheryl Weber Occupational Therapist 19 Hickory Ln, Woodbridge, CT 06525-1433 2009-10-12
1093955874 Natalie Paige Long Occupational Therapist 13590 Jefferson Davis Hwy, Woodbridge, VA 22191 2009-03-06
1104061035 Tawana Melissa Fischer Occupational Therapist 81 Hillside Avenue, Woodbridge, NJ 07095-3611 2008-12-05
1205051448 Susan A Fuentes Occupational Therapist 12185 Clipper Dr, Woodbridge, VA 22192-2236 2007-04-14
1982726212 Poonam Savlani Occupational Therapist 3 Saint Joseph Ter, Woodbridge, NJ 07095-2611 2007-04-06
1326143413 Michelle M Lodato Occupational Therapist 3 St. Joseph's Terrace, Woodbridge, NJ 07095 2006-09-13
1487653648 Amy Fordree Varias Occupational Therapist 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 2005-07-20
Find all providers in WOODBRIDGE

Competitor

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City WOODBRIDGE
Zip Code 22191

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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