Unknown Individual – Occupational Therapist, NPI 1083636385

Unknown Individual is a healthcare provider. based in Leesburg, Virginia. specializing in Occupational Therapist. They hold a License No. 0119004088 (VA). The NPI Number for Unknown Individual is 1083636385

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083636385
Phone
(703) 737-8241
Address
906 TRAILVIEW BLVD SE
Deactivation Date
15 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 906, Trailview Boulevard Southeast, Leesburg, Loudoun County, Virginia, 20175, United States

    SUITE A

    LEESBURG, VA 201754415

    Phone: (703) 737-8241

    Fax: (703) 737-8235

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20175)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1083636385.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is Unknown Individual registered?
Use Leesburg, Virginia as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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