Active NPI
Tori Collins - Lau
- Speech-Language Pathologist
- MC Lean, VA
National Provider Identifier
1255949145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202010041
- Practice address
- 1487 Chain Bridge Rd Ste 102
MC Lean, VA 22101-5723 - Phone
- (703) 941-7757
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202010041 | VA | Primary |
Addresses
Primary practice location
1487 Chain Bridge Rd Ste 102
MC Lean, VA 22101-5723
Mailing address
3409 Wilson Blvd Unit 413
Arlington, VA 22201-2245
Phone (661) 609-6318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202010041 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1255949145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 WILSON BLVD UNIT 413",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222012245",
"telephone_number": "661-609-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1487 CHAIN BRIDGE RD STE 102",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015723",
"telephone_number": "703-941-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS - LAU",
"first_name": "TORI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202010041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.