CMS-1500 Box 24J / 33a • NPI
1780177642
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225XH1200X (CMS 67)
Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
Box 32 Service Location & ZIP+4
20925 PROFESSIONAL PLZ STE 300, ASHBURN, VA, 20147-3403
✓ 9-Digit EDI 837 ZIP+4 (20147-3403)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780177642 (CHANELE ELIZABETH ANDERSEN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780177642 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHANELE ELIZABETH ANDERSEN |
| Plain-English Specialty | Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: 225XH1200X (Occupational Therapist, Hand) |
| Certifying / Licensing Body | National Board for Certification in Occupational Therapy (NBCOT) |
| Practice Location Address | 20925 PROFESSIONAL PLZ STE 300, ASHBURN, VA, 20147-3403 |
| Practice Telephone / Fax | Tel: (703) 544-7171 |
| Administrative Mailing Address | 14235 LEGEND GLEN CT, GAINESVILLE, VA, 20155-1494 |
| Enumeration & Last Sync | Enumerated: 2018-06-14 | CMS Record Updated: 2022-06-07 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (225XH1200X)
What Does Taxonomy Code 225XH1200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225XH1200X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHANELE ELIZABETH ANDERSEN)
Typical CPT / Diagnostic Procedures:- Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
- Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics
- Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: VA | License: 0119007664 | Primary: Secondary |
225XH1200X — Occupational Therapist, HandPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: VA | License: 0119007664 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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