Organization Active NPI

Center for Vein Restoration MD LLC

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1205190626
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005026 Issued in VA
Legal business name
CENTER FOR VEIN RESTORATION MD LLC
Practice address
7025 Grove Rd
Alexandria, VA 22306-1428
Phone
(703) 785-8792
NPI assigned
Jun 29, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Olga Pleffner
Title
Credentialing Manager
Phone
(301) 860-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119005026 VA Primary

Addresses

Primary practice location

7025 Grove Rd
Alexandria, VA 22306-1428

Mailing address

7025 Grove Rd
Alexandria, VA 22306-1428
Phone (703) 785-8792

National Provider Directory

National Provider Directory
Tax ID family
Sanjiv Lakhanpal MD36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1205190626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 GROVE RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061428",
            "telephone_number": "703-785-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 GROVE RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061428",
            "telephone_number": "703-785-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VEIN RESTORATION MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "PLEFFNER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "301-860-0003"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005026",
            "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 Jun 29, 2012; 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.