HEEKYUNG SHIN (NPI# 1508415597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508415597 |
| Entity Type | Individual |
| Full Name | HEEKYUNG SHIN |
| Credential | OTR/L |
| Practice Address |
3750 Joseph Siewick Dr Fairfax VA 22033-1742 |
| Mailing Address |
4159 Monument Hill Way Apt 8105 Fairfax VA 22030-8318 |
| Practice Telephone | 7032640506 |
| Mailing Telephone | 7039377439 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3750 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552420 | Beth A Miller | Occupational Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2005-07-20 |
| 1942768635 | Stephanie Birkmeier | Occupational Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2019-03-12 |
| 1861989725 | Julie Chris | Occupational Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2018-04-17 |
| 1558818922 | Lisa Nihill | Physical Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2016-09-02 |
| 1962824284 | Michelle Bouboulis | Occupational Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2014-01-07 |
| 1154755825 | Karen Van Antwerp | Occupational Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2013-08-29 |
| 1508131012 | Devon Palermo | Physical Therapy Assistant | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2012-03-16 |
| 1942573977 | Colleen Mary Cowles | Speech-Language Pathologist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2012-02-22 |
| 1942506118 | Sunrise Senior Living | Alzheimer Center (Dementia Center) | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2011-02-04 |
| 1326208935 | Surabhi Rao | Occupational Therapist | 3750 Joseph Siewick Dr, Fairfax, VA 22033-1742 | 2008-06-17 |
| Find all providers in the same location | ||||
| 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 | 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.