TARA FASANELLO (NPI# 1346638079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346638079 |
| Entity Type | Individual |
| Full Name | TARA FASANELLO |
| Credential | COTA/L |
| Practice Address |
12628 Fair Crest Ct Fairfax VA 22033-3888 |
| Practice Telephone | 7246644521 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131000874 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12628 FAIR CREST CT |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720513732 | Suzanne Hepler | Occupational Therapy Assistant | 3900 Jermantown Rd Ste 150, Fairfax, VA 22030 | 2017-04-27 |
| 1346368248 | Select Rehabilitation, LLC | Occupational Therapy Assistant | 4310 Forest Hill Dr, Fairfax, VA 22030-5680 | 2007-03-27 |
| 1285280958 | Laura Rafner | Occupational Therapy Assistant | 11200 Waples Mill Rd Ste 100, Fairfax, VA 22030-7475 | 2019-08-17 |
| 1194381178 | Mayura Jayant Rane | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030-6904 | 2019-05-14 |
| 1710449863 | Susan Windley | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030-6904 | 2019-04-05 |
| 1811452121 | Erin Nicole Rivenburg | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030-6904 | 2019-01-31 |
| 1043784937 | Samantha Ameperosa | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030-6904 | 2019-01-14 |
| 1306313275 | Stephanie Renee Mergentime | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030 | 2018-10-30 |
| 1598249575 | Loretta Ann Mello | Occupational Therapy Assistant | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-09-17 |
| 1366922585 | Julian Choe | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030-6904 | 2018-08-16 |
| 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.