STEPHANIE DUDLEY (NPI# 1740682137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 871 Old Alice Rd, Suite 600, Brownsville, TX 785208268 | 9565412102 | 9565412502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235487059 | Stephanie Kay Dudley | Social Worker | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2012-08-28 |
| Street Address |
3900 JERMANTOWN RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4900 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in FAIRFAX | ||||
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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.