Organization Active NPI

Advanced PT and Rehab

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1104942671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203347 Issued in VA
Legal business name
ADVANCED PT AND REHAB
Practice address
6020 Richmond Hwy
Suite 100
Alexandria, VA 22303-2157
Phone
(703) 868-1691
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sonia Kelly
Title
Director
Phone
(703) 868-1691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305203347 VA Primary

Addresses

Primary practice location

6020 Richmond Hwy
Suite 100
Alexandria, VA 22303-2157

Mailing address

PO Box 882
Merrifield, VA 22116-2882
Phone (703) 868-1691

National Provider Directory

National Provider Directory
Tax ID family
Advanced PT and Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6020 Richmond Hwy
Ste 100
Alexandria, VA 22303
Phone (571) 550-9000

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104942671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221162882",
            "telephone_number": "703-868-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 RICHMOND HWY",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032157",
            "telephone_number": "703-868-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PT AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-868-1691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.