Active NPI
Outstanding Possibilities Revealed, LLP
- Developmentally Disabled Services Day Training Agency
- Fairfax, VA
National Provider Identifier
1104204262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- OUTSTANDING POSSIBILITIES REVEALED, LLP
- Practice address
- 3022 Javier Rd
Suite 130
Fairfax, VA 22031-4645 - Phone
- (202) 888-6533
- NPI assigned
- May 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Althea Azu
- Title
- Director
- Phone
- (301) 806-1711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
3022 Javier Rd
Suite 130
Fairfax, VA 22031-4645
Mailing address
3022 Javier Rd
Suite 130
Fairfax, VA 22031-4645
Phone (202) 888-6533
Other names 1
- Outstanding Possibilities Revealed LLC
National Provider Directory
National Provider DirectoryLocations
3022 Javier Rd
Ste 130
Fairfax, VA 22031
Phone (202) 888-6533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464566400000",
"number": "1104204262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 JAVIER RD",
"address_2": "SUITE 130",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314645",
"telephone_number": "202-888-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 JAVIER RD",
"address_2": "SUITE 130",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314645",
"telephone_number": "202-888-6533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTSTANDING POSSIBILITIES REVEALED, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-09",
"last_updated": "2016-05-30",
"status": "A",
"authorized_official_last_name": "AZU",
"authorized_official_first_name": "ALTHEA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "301-806-1711"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Outstanding Possibilities Revealed LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.