MEDICARE: MS. ANDREA K ENGLERT OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	0119001293	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003070509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA K ENGLERT OTR/L

Provider Business Mailing Address
First Line	:	3335 OSBORNE RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1989
Country	:	US
Telephone Number	:	804-840-2532
Fax Number	:

Provider Business Practice Location Address
First Line	:	5604 VIRGINIA BEACH BLVD STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5631
Country	:	US
Telephone Number	:	757-455-5000
Fax Number	:	757-319-4142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	06/23/2026

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