MRS. DANA JILL WALLACE (NPI# 1073730636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073730636 |
| Entity Type | Individual |
| Full Name | MRS. DANA JILL WALLACE |
| Credential | MS, OTR/L |
| Practice Address |
20925 Professional Plaza Suite 300 Ashburn VA 20147 |
| Practice Telephone | 7035447171 |
| Practice Fax Number | 7039974450 |
| Mailing Telephone | 7035447171 |
| Mailing Fax Number | 7039974450 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119005354 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | OT004212 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST NCA | 4695-0050 | 01 | |
| CAREFIRST MARYLAND | 976238-01 | 01 | |
| AETNA | 9519754 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989279 | Dana Marie Wallace | Nurse Practitioner | 5040 City Ave, Philadelphia, PA 19131-1435 | 2018-04-20 |
| 1255542858 | Dana Wallace | Registered Nurse | 13255 Road 22k, Cloverdale, OH 45827-9454 | 2007-05-24 |
| 1437192531 | Dana V Wallace | Allergy & Immunology | 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312-6546 | 2006-06-14 |
| 1659614329 | Dana Wallace | Behavioral Analyst | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2013-04-01 |
| 1700037454 | Dana Wallace | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2008-09-30 |
| 1659548543 | Dana J Wallace | Ophthalmology | 5995 Barfield Rd, Sandy Springs, GA 30328-4411 | 2008-05-11 |
| 1659405637 | Dana Wallace | Social Worker | 3737 Red Bluff Rd, Pasadena, TX 77503-3307 | 2007-03-14 |
| Street Address |
20925 PROFESSIONAL PLAZA SUITE 300 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750792404 | Northern Virginia Hand Therapy Center | Clinic/Center | 20925 Professional Plaza, Suite 300, Ashburn, VA 20147 | 2014-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| 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 |
|---|---|---|---|---|
| 1366043168 | Sierra Alexis Taylor Wolf | Occupational Therapist | 20439 Scioto Ter, Ashburn, VA 20147-7009 | 2020-11-06 |
| 1629601331 | Pooja Pai | Occupational Therapist | 43198 Ashley Green Dr, Ashburn, VA 20148-7045 | 2020-02-20 |
| 1780177642 | Chanele Elizabeth Molano | Occupational Therapist | 20925 Professional Plz Ste 300, Ashburn, VA 20147-3403 | 2018-06-14 |
| 1053776054 | Angela Stevens | Occupational Therapist | 44315 Suscon Sq, Ashburn, VA 20147-6459 | 2015-12-18 |
| 1003108929 | Betsy Leah Johnson | Occupational Therapist | 20682 Pomeroy Ct, Ashburn, VA 20147-2855 | 2011-05-11 |
| 1487945911 | Eileen Marie Kuhn | Occupational Therapist | 21851 Engleside Pl, Ashburn, VA 20148-4541 | 2011-05-02 |
| 1760795264 | Shweta Krishnan Iyengar | Occupational Therapist | 44269 Cornish Ln, Ashburn, VA 20147-6468 | 2010-07-26 |
| 1164926036 | Ashley Nicole Robinson | Occupational Therapist | 21000 Education Court, Ashburn, VA 20148 | 2018-03-23 |
| 1184166696 | Amy Randol | Occupational Therapist | 21160 Maple Branch Ter, Ashburn, VA 20147-6160 | 2016-11-15 |
| 1629510136 | Jayme Dorsett | Occupational Therapist | 21160 Maple Branch Ter, Ashburn, VA 20147-6160 | 2016-11-15 |
| Find all providers in ASHBURN | ||||
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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.