Jessica Harrell-Cooper

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605256 Issued in VA

Practice address

14412 Jefferson Davis Hwy
Woodbridge, VA 22191-2806

Phone

(703) 499-9399

Fax

(703) 499-9553

NPI assigned

Oct 25, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1003383282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 BRADMORE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154712",
            "telephone_number": "808-754-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14412 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912806",
            "telephone_number": "703-499-9399",
            "fax_number": "703-499-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL-COOPER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "5923",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Harding, PT, DPT
• Michelle Hardy-Juster, PBT
• Kurt Kusakabe Hardy, PA-C
• Roberta T. Hare, PTA
• Crystal Holt Hargrave, NP
• Raymond Martin Harrell, M.D.
• Kathleen Harrelson, CNM, WHNP-BC, MSN
• Harriet V Greenfield NP, LLC
• Amanda Harrington, PHD
• Harris & Blanks Transportation LLC

• Physical Therapy Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.