Ellyn Sartucci

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305002031 Issued in VA

Practice address

8348 Traford LN
Suite 200
Springfield, VA 22152-1663

Phone

(703) 569-7500

Fax

(703) 866-0158

NPI assigned

Feb 22, 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

• Ellyn Dunford Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215062047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 CHOLLMAN CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223081701",
            "telephone_number": "703-347-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LN",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521663",
            "telephone_number": "703-569-7500",
            "fax_number": "703-866-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTUCCI",
        "first_name": "ELLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305002031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYN",
            "last_name": "DUNFORD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Santra, MA
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• Abigail Sarpong, PHARMD
• Sonilla Satar, PHARMD
• Agrani Satyal
• Kathryn Sawruk, OTR/L
• Sawsan Abousy,DDS.,MSC.,PC
• Blair Oliff Scallion, MS, CCC-SLP

• Pediatric Physical Therapist in Springfield, VA
• Providers in Springfield, VA by specialty
• Pediatric Physical Therapist 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.