Organization Active NPI

Outstanding Possibilities Revealed, LLP

  • Developmentally Disabled Services Day Training Agency
  • Fairfax, VA
National Provider Identifier
1104204262
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on May 30, 2016

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.