Natalie Jeanne Gaboriault-Whitcomb, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209319 Issued in VA

Practice address

5219 Spalding CT
Burke, VA 22015-1751

Phone

(703) 225-8802

NPI assigned

Sep 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Natalie Jeanne Whitcomb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538265600000",
    "number": "1265917835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SPALDING CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151751",
            "telephone_number": "703-225-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 SPALDING CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151751",
            "telephone_number": "703-225-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6190 Old Franconia Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223102593",
            "country_code": "US",
            "telephone_number": "703-398-9826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABORIAULT-WHITCOMB",
        "first_name": "NATALIE",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "WHITCOMB",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; 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.