Organization Active NPI

Landmark Physical Therapy LLC

  • Specialist
  • Alexandria, VA
National Provider Identifier
1336407709
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2305206276 Issued in VA
Legal business name
LANDMARK PHYSICAL THERAPY LLC
Practice address
5249 Duke St
Suite LL-1
Alexandria, VA 22304-2926
Phone
(301) 266-0738
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Asiya Aftab
Title
President
Phone
(301) 266-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2305206276 VA Primary

Addresses

Primary practice location

5249 Duke St
Suite LL-1
Alexandria, VA 22304-2926

Mailing address

11154 Bunchberry CT
Waldorf, MD 20601-2631

Other names 1

  • Landmark Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5411E Backlick Rd
Ste 200
Springfield, VA 22151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1336407709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 BUNCHBERRY CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "SUITE LL-1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "301-266-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "AFTAB",
        "authorized_official_first_name": "ASIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-266-0738"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "2305206276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.