Provider Demographics
NPI:1689551012
Name:SHARMELI, NOUSHIN (OTR/L)
Entity type:Individual
Prefix:
First Name:NOUSHIN
Middle Name:
Last Name:SHARMELI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25017 WHITE SANDS DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4153
Mailing Address - Country:US
Mailing Address - Phone:571-427-8626
Mailing Address - Fax:
Practice Address - Street 1:25017 WHITE SANDS DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-4153
Practice Address - Country:US
Practice Address - Phone:571-427-8626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist