Individual provider Active NPI

Dorothy Slocum

  • Physical Therapist
  • Springfield, VA
National Provider Identifier
1174646319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6850 Versar Ctr Ste 241
Springfield, VA 22151-4148
Phone
(703) 256-3400
NPI assigned
Apr 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6850 Versar Ctr Ste 241
Springfield, VA 22151-4148

Mailing address

2912 Linden LN
Falls Church, VA 22042-2314

Other identifiers 1

IdentifierTypeStateIssuer
2305002743OtherVALICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220221000760 VA Practitioner - Physical Therapist in Private Practice 8527113273
I20220310000498 DC Practitioner - Physical Therapist in Private Practice 8527113273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Sports, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Alexandria Sports, Inc. PastSince Jan 1, 2022 Accepting new patients

Locations

9015 Silverbrook Rd
Ste 10
Fairfax Station, VA 22039
Phone (571) 475-0003

9015 Silverbrook Rd
Ste 103
Fairfax Station, VA 22039
Phone (571) 475-0003

9015 Silverbrook Rd
Ste 104
Fairfax Station, VA 22039
Phone (571) 475-0003

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174646319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 LINDEN LN",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 VERSAR CTR STE 241",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514148",
            "telephone_number": "703-256-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "DOROTHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "2305002743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.