Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TARYN NICHELLE PETTIGREW OT
NPI 1679296594
Occupational Therapist in Lake Ridge, VA

Active since September 26, 2022
4004 GENESEE PL STE 209, LAKE RIDGE, VA 22192(703) 457-8648 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Feb 13, 2023, Feb 8, 2023 and 1 more (4 updates tracked since 2022).

About Taryn Nichelle Pettigrew Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARYN NICHELLE PETTIGREW OT (NPI 1679296594) is an individual occupational therapist in Lake Ridge, Virginia, licensed in Virginia (0119009818) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1679296594
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameTARYN NICHELLE PETTIGREWCredential: OT
Location Address4004 GENESEE PL STE 209Lake Ridge, VA 22192-8305
Mailing Address15061 Galapagos PlWoodbridge, VA 22193-5842 · (703) 875-1489
Sole ProprietorYes
Enumeration DateSeptember 26, 2022
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1679296594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in VA · 0119009818
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License OC018708 (PA)
4004 GENESEE PL STE 209, Lake Ridge, VA 22192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taryn Pettigrew's NPI number?

The NPI number for Taryn Pettigrew is 1679296594. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Taryn Pettigrew located?

Taryn Pettigrew practices at 4004 Genesee Pl Ste 209, Lake Ridge, VA 22192. The listed phone number is (703) 457-8648.

What is Taryn Pettigrew's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Taryn Pettigrew was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.