Taryn Nichelle Pettigrew, OT - Occupational Therapist in Lake Ridge, VA

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Taryn Nichelle Pettigrew, OT is a Occupational Therapist based in Lake Ridge, Virginia. Taryn Nichelle Pettigrew is licensed to practice in Virginia (license number 0119009818) and her current practice location is 12185 Clipper Dr, Lake Ridge, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 457-8648.

NPI number for Taryn Nichelle Pettigrew is 1679296594 and her current mailing address is 15061 Galapagos Pl, Woodbridge, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679296594.

Contact Information

Taryn Nichelle Pettigrew, OT
12185 Clipper Dr,
Lake Ridge, VA 22192-2236
(703) 457-8648
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTaryn Nichelle Pettigrew
GenderFemale
SpecialityOccupational Therapist
Location12185 Clipper Dr, Lake Ridge, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679296594
  • Provider Enumeration Date: 09/26/2022
  • Last Update Date: 02/13/2023

Medical Identifiers

Medical identifiers for Taryn Nichelle Pettigrew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679296594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 0119009818 (Virginia)Primary
225XP0200XOccupational Therapist - Pediatrics OC018708 (Pennsylvania)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taryn Nichelle Pettigrew is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taryn Nichelle Pettigrew, OT
15061 Galapagos Pl,
Woodbridge, VA 22193-5842

Ph: (703) 875-1489		Taryn Nichelle Pettigrew, OT
12185 Clipper Dr,
Lake Ridge, VA 22192-2236

Ph: (703) 457-8648

Reviews and Comments


Occupational Therapist in Lake Ridge, VA

Ms. Logan Denise Luke, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192
Phone: 703-457-8648    
Kayla Sharma,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192
Phone: 703-647-3130    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.