Active NPI
Susan Perkins
- Pediatric Physical Therapist
- Springfield, VA
National Provider Identifier
1073739785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305006000
- Practice address
- 8348 Traford LN
Suite 200
Springfield, VA 22152-1663 - Phone
- (703) 569-7500
- Fax
- (703) 866-0158
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2305006000 | VA | Primary |
Addresses
Primary practice location
8348 Traford LN
Suite 200
Springfield, VA 22152-1663
Mailing address
9510 Daniel Lewis LN
Vienna, VA 22181-6168
Phone (703) 938-2199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305006000 | VA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073739785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 DANIEL LEWIS LN",
"city": "VIENNA",
"state": "VA",
"postal_code": "221816168",
"telephone_number": "703-938-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8348 TRAFORD LN",
"address_2": "SUITE 200",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521663",
"telephone_number": "703-569-7500",
"fax_number": "703-866-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305006000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.