Individual provider Active NPI

Cynthia Clarke, PT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1346863982
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003238 Issued in VA
Practice address
6153 Fuller CT
Alexandria, VA 22310-2541
Phone
(703) 924-1414
Fax
(703) 924-1114
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305003238 VA Primary

Addresses

Primary practice location

6153 Fuller CT
Alexandria, VA 22310-2541

Mailing address

6153 Fuller CT
Alexandria, VA 22310-2541
Phone (703) 924-1414

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

LicenseStateTypeSpecialty
2305003238VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Clarke PT PC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Denise L. Hurst, MD,PC CurrentSince May 24, 2020 Accepting new patients

Locations

6153 Fuller Ct
Alexandria, VA 22310
Phone (703) 342-4688

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1346863982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6153 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102541",
            "telephone_number": "703-924-1414",
            "fax_number": "703-924-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6153 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102541",
            "telephone_number": "703-924-1414",
            "fax_number": "703-924-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CYNTHIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 18, 2020; 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.