Eunsil Choi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604952 Issued in VA

Practice address

4304 Evergreen LN Ste 102
Annandale, VA 22003-3216

Phone

(703) 256-7979

NPI assigned

Feb 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nova Rehab Corp

  • Physical Therapist
  • Annandale, VA
  • NPI 1114150919
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396245676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 BIDEFORD SQ",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306160",
            "telephone_number": "605-691-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 EVERGREEN LN STE 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033216",
            "telephone_number": "703-256-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13890 Braddock Rd",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212435",
            "country_code": "US",
            "telephone_number": "703-266-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "EUNSIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Joo Sang Cho, D.C.
• Rebecca Cho
• Sang K Cho
• Young Hei Cho, M.D.
• Daniel Ji Woong Choi, DDS
• Jiho Choi, M.D.
• Christina H Chon, O.D.
• Won Cho Chong, O.M.D.
• Hae Yong Chung, DC
• Heather Haeyoung Chung, FNP-C

• Physical Therapy Assistant in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.