Organization Active NPI

Mazin Physical Therapy PLLC

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1386499440
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

3345 Duke St
Alexandria, VA 22314
Phone (703) 370-4093

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.

Verify at the official NPI Registry.