Dr Rader Advanced PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DR RADER ADVANCED PT LLC

Practice address

8603 Westwood Center Dr Ste 240
Vienna, VA 22182-2230

Phone

(571) 419-6300

Fax

(571) 419-6302

NPI assigned

Jul 18, 2022

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Rader, DPT

Title

DPT/Owner

Phone

(571) 419-6300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1134854912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 WESTWOOD CENTER DR STE 240",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822230",
            "telephone_number": "571-419-6300",
            "fax_number": "571-419-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 WESTWOOD CENTER DR STE 240",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822230",
            "telephone_number": "571-419-6300",
            "fax_number": "571-419-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RADER ADVANCED PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "571-419-6300",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.