Unknown Individual – Occupational Therapist, NPI 1407997026

Unknown Individual is a healthcare provider. based in North chesterfield, Virginia. specializing in Occupational Therapist. The NPI Number for Unknown Individual is 1407997026

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407997026
Phone
(804) 560-5595
Address
1115 BOULDERS PKWY
Deactivation Date
29 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1115 BOULDERS PKWY

    SUITE 200

    NORTH CHESTERFIELD, VA 232254067

    Phone: (804) 560-5595

    Fax: (804) 560-9029

    Type: Mailing

  • 13700 ST FRANCIS BLVD

    SUITE 103

    MIDLOTHIAN, VA 231143222

    Phone: (804) 379-9086

    Fax: (804) 379-1283

    Type: Location

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.

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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 23225)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1407997026 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near North Chesterfield?
Unknown Individual currently maps to North Chesterfield, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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