STEPHANIE DUDLEY


Address: 3900 Jermantown Rd, Fairfax, VA 22030-4900
Phone: 7039105006

STEPHANIE DUDLEY (NPI# 1740682137) 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) 1740682137
Entity Type Individual
Full Name STEPHANIE DUDLEY
Practice Address 3900 Jermantown Rd
Fairfax
VA 22030-4900
Mailing Address 3900 Jermantown Rd Ste 250
Fairfax
VA 22030-4946
Practice Telephone 7039105006
Mailing Telephone 7039105006
Mailing Fax Number 8883146706
Enumeration Date 2014-09-17
Last Update Date 2019-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 0119007318 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist 116429 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
871 Old Alice Rd, Suite 600, Brownsville, TX 785208268 9565412102 9565412502

Other Providers STEPHANIE DUDLEY

NPI Name Taxonomy Address Enumeration
1235487059 Stephanie Kay Dudley Social Worker 2336 Goddard Pkwy, Salisbury, MD 21801-1126 2012-08-28

Office Location

Street Address 3900 JERMANTOWN RD
City FAIRFAX
State VA
Zip Code 22030-4900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659300564 Heartland Hospice Services LLC Hospice Care, Community Based 3900 Jermantown Rd, Suite 460, Fairfax, VA 22030-4900 2006-07-02
1043704232 Priscilla J Park Occupational Therapist 3900 Jermantown Rd, Fairfax, VA 22030-4900 2018-06-20
1174017412 Sarah J Castrellon Occupational Therapist 3900 Jermantown Rd, Fairfax, VA 22030-4900 2018-06-20
1760840920 Danielle Fletcher Speech-Language Pathologist 3900 Jermantown Rd, Suite 150, Fairfax, VA 22030-4900 2016-02-03
1063870236 Vian Al-baiati Occupational Therapy Assistant 3900 Jermantown Rd, Suite 150, Fairfax, VA 22030-4900 2016-02-03
1487012787 Ashleigh Balsamo Stevens Occupational Therapist 3900 Jermantown Rd, #150, Fairfax, VA 22030-4900 2016-02-02
1134558893 Michelle Kathleen Briggs Nurse Practitioner 3900 Jermantown Rd, Suite 460, Fairfax, VA 22030-4900 2013-11-04
1629221973 Amy Elizabeth Schmitt Occupational Therapist 3900 Jermantown Rd, Suite 250, Fairfax, VA 22030-4900 2008-10-30
1902085905 Sherry Lynne Bowman Social Worker 3900 Jermantown Rd, Suite 201, Fairfax, VA 22030-4900 2007-10-26
1497953483 Lea Aimee Gaffen Social Worker 3900 Jermantown Rd, Ste. 200, Fairfax, VA 22030-4900 2007-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
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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
1629630785 Amisha Shah Occupational Therapist 4027 Olley Ln, Fairfax, VA 22032-1323 2019-06-28
1962905877 Emily A. Borders Occupational Therapist 8270 Willow Oaks Co Dr Fl 2, Fairfax, VA 22031-4511 2018-03-16
1417457086 Rosemary Cherian Bolden Occupational Therapist 8270 Willow Oaks Corporate Dr Ste 2119, Fairfax, VA 22031-4511 2018-02-20
1497147714 Amanda Seymore Occupational Therapist 8301 Arlington Blvd Ste T8, Fairfax, VA 22031 2015-02-24
1235543661 Sherina Mathew Occupational Therapist 12152 Monument Dr Unit 289, Fairfax, VA 22033-5507 2014-06-13
1457776973 Lynn Eadie Occupational Therapist 12625 Dusty Wheel Ln, Fairfax, VA 22033-1736 2014-02-20
1457772485 Leslie Sigman Occupational Therapist 9720 Ceralene Dr, Fairfax, VA 22032-1704 2013-12-17
1689008088 Rebecca Allen Occupational Therapist 3422 Hidden Meadow Dr, Fairfax, VA 22033-1113 2013-08-21
1124461009 Christine Huang Occupational Therapist 11329 Aristotle Dr Apt 413, Fairfax, VA 22030-0904 2013-04-10
1942541230 Margaret Evelyn Bridges Occupational Therapist 10787 Crest St, Fairfax, VA 22030-5171 2013-03-11
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Competitor

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City FAIRFAX
Zip Code 22030

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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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