Active NPI
Jennifer Ann Quintanilla, PT
- Physical Therapist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203683
- Practice address
- 8316 Arlington Blvd
Suite 600
Fairfax, VA 22031-5207 - Phone
- (703) 205-1919
- Fax
- (703) 205-1977
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203683 | VA | Primary |
Addresses
Primary practice location
8316 Arlington Blvd
Suite 600
Fairfax, VA 22031-5207
Mailing address
8316 Arlington Blvd
Suite 400
Fairfax, VA 22031-5207
Phone (703) 560-3190
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203683 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
8316 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 205-1919
267 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 288-9761
8206 Leesburg Pike
Ste 402
Vienna, VA 22182
Phone (703) 356-3470
13854 Smoketown Rd
Woodbridge, VA 22192
Phone (703) 670-9935
Organizations & group practices 1
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.
-
- Physical Therapist
- Herndon, VA
- NPI 1770799041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1396744355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "SUITE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315207",
"telephone_number": "703-560-3190",
"fax_number": "703-560-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "SUITE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315207",
"telephone_number": "703-205-1919",
"fax_number": "703-205-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANILLA",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.