INGRID SUZANNE DERSTINE (NPI# 1962052506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962052506 |
| Entity Type | Individual |
| Full Name | INGRID SUZANNE DERSTINE |
| Credential | OTD, ORT/L |
| Practice Address |
14366 Sommerville Ct Midlothian VA 23113-6838 |
| Mailing Address |
1377 Motor Pkwy Ste 307 Islandia NY 11749-5258 |
| Practice Telephone | 6315805200 |
| Practice Fax Number | 6315805222 |
| Mailing Telephone | 6315805200 |
| Mailing Fax Number | 6315805222 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119008264 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14366 SOMMERVILLE CT |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23113-6838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636983 | Edward Ivan Glynn | Family Medicine | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2005-08-19 |
| 1942815147 | Sarah Anne Walters | Physical Therapist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2020-09-14 |
| 1093337016 | Laura Sowder | Speech-Language Pathologist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2020-05-13 |
| 1962047258 | Tara Meehan | Physical Therapist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2019-11-11 |
| 1104467828 | Kristen Knowsley | Speech-Language Pathologist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2019-10-03 |
| 1598327223 | Beth Melissa Rabbin | Speech-Language Pathologist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2019-07-02 |
| 1750940979 | Carolyn E Dawkins | Occupational Therapist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2019-06-11 |
| 1104484112 | Kathryn Barisano | Speech-Language Pathologist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2019-06-04 |
| 1740747666 | Briana Sledge | Occupational Therapist | 14366 Sommerville Ct, Midlothian, VA 23113 | 2019-02-27 |
| 1275024655 | Ivyrehab Sept, LLC | Physical Medicine & Rehabilitation | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2018-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
| 1447891981 | Dianne Carter Mays | Technician | 10901 Live Oak Court, Midlothian, VA 23113 | 2019-10-07 |
| 1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
| 1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
| 1124415971 | Cara E. Corbelli | Chiropractor | 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 | 2015-04-20 |
| 1922438639 | Orthovirginia, Inc | Orthopaedic Surgery | 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 | 2013-11-15 |
| 1811334832 | Kara Keuthan Beatty | Psychiatry & Neurology | 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 | 2013-05-31 |
| 1770854697 | R. Adrian Sorenson Dds and William R. Monacell Dds | Dentist | 14420 Sommerville Ct., Midlothian, VA 23113 | 2012-01-24 |
| 1336418995 | Hush Fine Lingerie LLC | Prosthetic/Orthotic Supplier | 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 | 2011-12-27 |
| 1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
| Find all providers in zip 23113 | ||||
| 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 |
|---|---|---|---|---|
| 1023621802 | Julie Diana Gronboldt | Occupational Therapist | 14201 Broad Oaks Ct, Midlothian, VA 23112-4618 | 2020-08-31 |
| 1932719416 | Eryn Casey Jordan | Occupational Therapist | 621 Highlander Ave, Midlothian, TX 76065-3525 | 2020-08-09 |
| 1962034363 | Jennifer Camille Rossi | Occupational Therapist | 11401 Oak Timber Ct, Midlothian, VA 23114-5154 | 2020-02-04 |
| 1679030506 | Jeanine Rossi | Occupational Therapist | 13801 St Francis Blvd # 200, Midlothian, VA 23114-3206 | 2019-02-27 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1134600869 | Melissa Maria Smith | Occupational Therapist | 1361 Shallowbend Dr, Midlothian, TX 76065-6972 | 2018-08-21 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1255854782 | Melanie Carol Koch | Occupational Therapist | 1707 Warminster Dr, Midlothian, VA 23113-2462 | 2017-07-17 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
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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.