Active NPI
Mazin Physical Therapy PLLC
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1386499440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MAZIN PHYSICAL THERAPY PLLC
- Practice address
- 3345 Duke St
Alexandria, VA 22314-5219 - Phone
- (703) 786-3352
- Fax
- (703) 740-1075
- NPI assigned
- Apr 22, 2024
- Last updated
- Apr 22, 2024
- 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
- Makenzie Mazin, PT, DSCPT
- Title
- Owner
- Phone
- (703) 786-3352
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3345 Duke St
Alexandria, VA 22314-5219
Mailing address
5131 Ballycastle Cir
Alexandria, VA 22315-5566
Phone (703) 786-3352
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Alexandria, VA
- NPI 1407835291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1386499440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5131 BALLYCASTLE CIR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155566",
"telephone_number": "703-786-3352",
"fax_number": "703-740-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145219",
"telephone_number": "703-786-3352",
"fax_number": "703-740-1075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAZIN PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "MAZIN",
"authorized_official_first_name": "MAKENZIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-786-3352",
"authorized_official_credential": "PT, DSCPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.