Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Lee Wall

Individual provider Occupational Therapist · NPI 1801507397

Elizabeth Lee Wall is an Occupational Therapist in Private Practice in Manassas, Virginia. Qualified in 2022, 4 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8575 Rixlew Ln
Manassas, VA 20109-3701
Phone: (703) 257-9770
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1801507397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address7367 Crestleigh Cir, Alexandria, VA 22315-3633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Manassas