Jennifer R Pratt, CERT MASTECTOMY FTR

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

50 S Pickett St
Suite 210
Alexandria, VA 22304-7206

Phone

(703) 461-7534

Fax

(703) 461-7534

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Genise Rea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gladys Rea Smith

  • Prosthetic/Orthotic Supplier
  • Alexandria, VA
  • NPI 1528243508
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164627220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 IRON FORGE RD",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201712950",
            "telephone_number": "703-579-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST",
            "address_2": "SUITE 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047206",
            "telephone_number": "703-461-7534",
            "fax_number": "703-461-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CERT MASTECTOMY FTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "REA",
            "middle_name": "GENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Practical Speech Solutions, PLC
• Pram Mount Vernon Te LLC
• Bruhaspaty Prasad, LSW
• Mira Prasai
• Pratibha Srinivasan
• Wilfred Pratt
• Rama Prayaga, MD
• Precious Healthcare LLC
• Precision Clinical Laboratory
• Precision Clinical Laboratory PCL

• Orthotic Fitter in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Orthotic Fitter in Virginia

• 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.

Verify at the official NPI Registry.