Axon Physical Therapy Clinic, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AXON PHYSICAL THERAPY CLINIC, LLC

Practice address

85 S Bragg St
Suite 504
Alexandria, VA 22312-2797

Phone

(703) 399-1376

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Kalkidan Getahun

Title

Physical Therapy

Phone

(703) 399-1376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1205202470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "SUITE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-399-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "SUITE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-399-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON PHYSICAL THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GETAHUN",
        "authorized_official_first_name": "KALKIDAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "703-399-1376"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.