Active NPI
Annie Cederberg Cardwell, P.T.
- Physical Therapist
- King George, VA
National Provider Identifier
1295032316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004026
- Practice address
- 5254 Potomac Dr Ste a
King George, VA 22485-5832 - Phone
- (540) 903-7298
- Fax
- (540) 709-7559
- NPI assigned
- Feb 25, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004026 | VA | Primary |
Addresses
Primary practice location
5254 Potomac Dr Ste a
King George, VA 22485-5832
Mailing address
PO Box 1237
King George, VA 22485-1237
Phone (540) 903-7298
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004026 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1295032316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1237",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224851237",
"telephone_number": "540-903-7298",
"fax_number": "540-709-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5254 POTOMAC DR STE A",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224855832",
"telephone_number": "540-903-7298",
"fax_number": "540-709-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDWELL",
"first_name": "ANNIE",
"middle_name": "CEDERBERG",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.