Jennifer Williams Culak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213768 Issued in VA

Practice address

2170 Gaborone PL Apt 14
Dulles, VA 20189-2170

Phone

(361) 548-9447

NPI assigned

Sep 16, 2008

Last updated

Nov 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1235388182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 GABORONE PL APT 14",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201892170",
            "telephone_number": "361-548-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 GABORONE PL APT 14",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201892170",
            "telephone_number": "361-548-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULAK",
        "first_name": "JENNIFER",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23449",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15488",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Carmen, CNM
• Asad Chaudhry
• Cathalene Blake Christian, PA-C
• Judith Okezie Chukueke
• Adrienne Wilbrecht Cronk, NP-C
• Caroline D'Souza, M.D.
• Christina L Denton, FNP
• Dominion Surgical Assistants, LLC
• Kathleen Donovan
• Dr. Daraius a. Unwalla & Associates, Optometrists, P.C.

• Physical Therapist in Dulles, VA
• Providers in Dulles, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.