Active NPI
Therapy Services of VA
- Developmental Therapist
- Bristow, VA
National Provider Identifier
1346541125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Legal business name
- THERAPY SERVICES OF VA
- Practice address
- 10902 Clara Barton Dr
Bristow, VA 20136-1399 - Phone
- (800) 819-5288
- NPI assigned
- Nov 9, 2010
- 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
- Tiffany Hensley
- Title
- Administrator
- Phone
- (800) 819-5288
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Developmental Therapist | 222Q00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
10902 Clara Barton Dr
Bristow, VA 20136-1399
Mailing address
PO Box 904
Bristow, VA 20136-0904
Phone (800) 819-5288
Other names 1
- On the Spectrum
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physical Therapist
- Louisa, VA
- NPI 1669643193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1346541125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 904",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201360904",
"telephone_number": "800-819-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10902 CLARA BARTON DR",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201361399",
"telephone_number": "800-819-5288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY SERVICES OF VA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "HENSLEY",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "800-819-5288"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "On the Spectrum",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bristow, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.