VIRGINIA INNOVATIVE THERAPY ASSOCIATES (NPI# 1588025621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588025621 |
| Entity Type | Organization |
| Organization Name | VIRGINIA INNOVATIVE THERAPY ASSOCIATES |
| Practice Address |
4870 Haygood Rd Suite 102 Virginia Beach VA 23455-5300 |
| Practice Telephone | 7574991290 |
| Practice Fax Number | 7574990958 |
| Mailing Telephone | 7574991290 |
| Mailing Fax Number | 7574990958 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | JENNIFER M LEHNEN (DIRECTOR/SPEECH LANG. PATHOLOGIST) |
| Authorized Official Telephone | 7574991290 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | 2202004790 | VA | Speech, Language and Hearing Service Providers |
| N | 261QA3000X |
Clinic/Center Specialization: Augmentative Communication |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE | F680 | 01 |
| Street Address |
4870 HAYGOOD RD SUITE 102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386058279 | Rhonda Coleman | Occupational Therapy Assistant | 4870 Haygood Rd, Suite 102, Virginia Beach, VA 23455-5300 | 2014-06-18 |
| 1609306836 | Emily Douglas | Speech-Language Pathologist | 4870 Haygood Rd, Virginia Beach, VA 23455-5300 | 2017-06-20 |
| 1073961421 | Virginia Innovative Therapy Associates, LLC | Occupational Therapist | 4870 Haygood Rd, Ste 102, Virginia Beach, VA 23455-5300 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317077 | Rachael Harroun | Occupational Therapist | 4560 South Blvd Ste 310-3, Virginia Beach, VA 23452-1160 | 2020-08-19 |
| 1174170161 | Balanced Outpatient Therapy LLC | Occupational Therapist | 1142 Jensen Dr # 101, Virginia Beach, VA 23451-5872 | 2019-08-23 |
| 1518472521 | Donna Marie Hager | Occupational Therapist | 845 First Colonial Rd Apt 119, Virginia Beach, VA 23451-6161 | 2017-12-13 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1215456934 | Jenna Harper | Occupational Therapist | 5301 Providence Rd Ste 115, Virginia Beach, VA 23464-4128 | 2017-09-13 |
| 1124578406 | Elizabeth B Dye | Occupational Therapist | 1933 Sandee Cres, Virginia Beach, VA 23454-2307 | 2016-10-10 |
| 1285030817 | Sabine Walker | Occupational Therapist | 1409 Wakefield Dr, Virginia Beach, VA 23455-4511 | 2014-11-10 |
| 1316340367 | Jessica Carson | Occupational Therapist | 612 Kellam Rd, Virginia Beach, VA 23462-2031 | 2014-10-06 |
| 1841634599 | Melissa Pieczynski | Occupational Therapist | 2680 Alameda Dr, Virginia Beach, VA 23456-2492 | 2013-04-24 |
| 1588939292 | Stephanie Ferguson | Occupational Therapist | 4650 South Blvd, Suite 310, Virginia Beach, VA 23452-1003 | 2012-03-13 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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| 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.