Healthcare Provider Details

I. General information

NPI: 1780345413
Provider Name (Legal Business Name): GRACYN ELIZABETH MCVEY MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. GRACYN ELIZABETH MCVEY

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 DOWNS DR
CHANTILLY VA
20151-3308
US

IV. Provider business mailing address

128 POLAND ST
WAYNESBORO VA
22980-3332
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax: 877-407-4329
Mailing address:
  • Phone: 540-471-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: