MRS. TERESA ANN HERDEGEN (NPI# 1174078240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174078240 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ANN HERDEGEN |
| Credential | MS OTR/L |
| Practice Address |
2235 Tacketts Mill Dr Suite C Woodbridge VA 22192-3036 |
| Practice Telephone | 7034911044 |
| Practice Fax Number | 7034912044 |
| Mailing Telephone | 7034911044 |
| Mailing Fax Number | 7034912044 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
0119006188 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2235 TACKETTS MILL DR SUITE C |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457418121 | Erin Marie Clemens | Occupational Therapist | 2235 Tacketts Mill Dr, Suite C, Woodbridge, VA 22192-3036 | 2007-01-02 |
| 1396115010 | Jennifer Faherty | Occupational Therapist | 2235 Tacketts Mill Dr, Suite C, Woodbridge, VA 22192-3036 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689120313 | Katrina Vosteen | Occupational Therapist | 2501 Hunters Place, Suite 101, Woodbridge, VA 22192 | 2016-09-01 |
| 1730549726 | Leelia Mckinley | Occupational Therapist | 2235c Tacketts Mill Dr, Woodbridge, VA 22192-3036 | 2016-03-03 |
| 1043520711 | April Brazil-marcellana | Occupational Therapist | 505 Foxhill Run Drive, Woodbridge, NJ 07095 | 2010-10-15 |
| 1770812562 | Sascha Rogers | Occupational Therapist | 5075 Anchorstone Dr, Woodbridge, VA 22192-5354 | 2009-12-08 |
| 1861626715 | Linette Gagnon | Occupational Therapist | 14420 Hereford Rd, Woodbridge, VA 22193-2129 | 2009-05-06 |
| 1457418121 | Erin Marie Clemens | Occupational Therapist | 2235 Tacketts Mill Dr, Suite C, Woodbridge, VA 22192-3036 | 2007-01-02 |
| 1790264091 | Mayree Margaret Sheffield | Occupational Therapist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2018-08-08 |
| 1952827735 | Joyce Ann Barry | Occupational Therapist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2017-08-14 |
| 1316312481 | Renee Michelle Tempest | Occupational Therapist | 14130 Noblewood Plz Ste 301, Woodbridge, VA 22193-1467 | 2015-12-01 |
| 1366873218 | Amanda Bruce | Occupational Therapist | 15 Research Dr, Woodbridge, CT 06525 | 2013-12-03 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.