JENNIFER FAHERTY (NPI# 1396115010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396115010 |
| Entity Type | Individual |
| Full Name | JENNIFER FAHERTY |
| Credential | MOT, 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 | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119006741 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902817679 | Jennifer Connor Faherty | Counselor | 2 Davenport Cir Apt 201, Bath, ME 04530-2831 | 2006-08-10 |
| 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 |
| 1174078240 | Teresa Ann Herdegen | Occupational Therapist | 2235 Tacketts Mill Dr, Suite C, Woodbridge, VA 22192-3036 | 2016-08-18 |
| 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 | 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 |
|---|---|---|---|---|
| 1477153732 | Laurie Ann Pino | Occupational Therapist | 900 Route 9 N Ste 410, Woodbridge, NJ 07095-1003 | 2020-10-27 |
| 1609420280 | Caitlin Malloy | Occupational Therapist | 15 Research Dr Ste 1, Woodbridge, CT 06525-2356 | 2019-07-31 |
| 1164797544 | Juanita Kumari Verma | Occupational Therapist | 12200 Derriford Ct, Woodbridge, VA 22192-5125 | 2012-03-19 |
| 1720313505 | Cheryl Weber | Occupational Therapist | 19 Hickory Ln, Woodbridge, CT 06525-1433 | 2009-10-12 |
| 1093955874 | Natalie Paige Long | Occupational Therapist | 13590 Jefferson Davis Hwy, Woodbridge, VA 22191 | 2009-03-06 |
| 1104061035 | Tawana Melissa Fischer | Occupational Therapist | 81 Hillside Avenue, Woodbridge, NJ 07095-3611 | 2008-12-05 |
| 1205051448 | Susan A Fuentes | Occupational Therapist | 12185 Clipper Dr, Woodbridge, VA 22192-2236 | 2007-04-14 |
| 1982726212 | Poonam Savlani | Occupational Therapist | 3 Saint Joseph Ter, Woodbridge, NJ 07095-2611 | 2007-04-06 |
| 1326143413 | Michelle M Lodato | Occupational Therapist | 3 St. Joseph's Terrace, Woodbridge, NJ 07095 | 2006-09-13 |
| 1487653648 | Amy Fordree Varias | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2005-07-20 |
| 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.