Organization
About the Minors
Provider's NPPES record last updated: April 17, 2023
Overview
- Entity Type
- Organization
- NPI
- 1093401671
- Primary Specialty
- Recreation Therapist
- Practice Location
- Petersburg, Virginia
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:12 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Recreation Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Taxonomy code 225800000X Music Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.
Taxonomy code 225A00000XRecreational Therapist Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts.
Taxonomy code 226000000XReligious Nonmedical Nursing Personnel
Nursing Service Related Providers
Religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance with moving, positioning, and ambulation; nutritional needs; and comfort and support measures.
Taxonomy code 374T00000X
Practice Locations
Practice Location
13 N Sycamore St
Petersburg, Virginia 23803-3233
Phone: (804) 295-3382
Record Information
- Enumeration Date
- April 17, 2023
- Provider's NPPES Record Last Updated
- April 17, 2023
- Certification Date
- April 15, 2023
- NPISignal NPPES Dataset
- August 2026
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