Active NPI
McLean Physical Therapy & Rehab Services, LLC.
- Physical Therapist
- McLean, VA
National Provider Identifier
1275604415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4550
- Legal business name
- MCLEAN PHYSICAL THERAPY & REHAB SERVICES, LLC.
- Practice address
- 1515 Chain Bridge Rd
Suite #104
McLean, VA 22101-4451 - Phone
- (703) 356-7801
- Fax
- (703) 356-7814
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne-Marie Deckx
- Title
- Physical Therapist
- Phone
- (703) 356-7801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4550 | VA | Primary |
Addresses
Primary practice location
1515 Chain Bridge Rd
Suite #104
McLean, VA 22101-4451
Mailing address
1515 Chain Bridge Rd
Suite #104
McLean, VA 22101-4451
Phone (703) 356-7801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J684 | Other | VA | BCBS |
| 3318097 | Other | VA | AETNA HMO |
| 7400481 | Other | VA | AETNA PPO |
National Provider Directory
National Provider DirectoryLocations
1515 Chain Bridge Rd
Ste 104
McLean, VA 22101
Phone (703) 356-7801
1515 Chain Bridge Rd
#104
McLean, VA 22101
Phone (703) 356-7801
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fairfax, VA
- NPI 1821453812
-
- Orthopedic Physical Therapist
- MC Lean, VA
- NPI 1518148766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362700800000",
"number": "1275604415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CHAIN BRIDGE RD",
"address_2": "SUITE #104",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221014451",
"telephone_number": "703-356-7801",
"fax_number": "703-356-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 CHAIN BRIDGE RD",
"address_2": "SUITE #104",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221014451",
"telephone_number": "703-356-7801",
"fax_number": "703-356-7814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLEAN PHYSICAL THERAPY & REHAB SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2013-03-08",
"status": "A",
"authorized_official_last_name": "DECKX",
"authorized_official_first_name": "ANNE-MARIE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "703-356-7801"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": "4550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J684",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3318097",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7400481",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.