Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brains That Bewonder Occupational Therapy, PLLC

Organization Pediatric Occupational Therapist · NPI 1760306120

Brains That Bewonder Occupational Therapy, PLLC provides Pediatric Occupational Therapist services in Lake Ridge, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4004 Genesee Pl Ste 209
Lake Ridge, VA 22192-8305
Phone: (703) 987-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1760306120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taryn Pettigrew — Occupational Therapist · (703) 987-5148
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address15061 Galapagos Pl, Woodbridge, VA 22193-5842

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