Healthcare Provider Details

I. General information

NPI: 1497373401
Provider Name (Legal Business Name): ALLISON C PARKER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6225 BRANDON AVE STE 130
SPRINGFIELD VA
22150-2519
US

IV. Provider business mailing address

508 AUTUMN SPRINGS CT STE 1A
FRANKLIN TN
37067-8274
US

V. Phone/Fax

Practice location:
  • Phone: 703-569-7500
  • Fax:
Mailing address:
  • Phone: 615-614-8833
  • Fax: 615-614-8811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119009603
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: