NPIMap

Organization Active NPI

Spectrum Pediatrics

  • Pediatric Rehabilitation Medicine Physician
  • Alexandria, VA
National Provider Identifier
1417165168
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
Legal business name
SPECTRUM PEDIATRICS
Practice address
218 N. Lee St. 3Rd Floor
Alexandria, VA 22314
Phone
(703) 299-0051
Fax
(571) 495-1684
NPI assigned
May 18, 2007
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Erin McKee
Title
Program Coordinator
Phone
(585) 943-4624

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X NU Primary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X 2202004163 VA

Addresses

Primary practice location

218 N. Lee St. 3Rd Floor
Alexandria, VA 22314

Mailing address

218 N. Lee St. 3Rd Floor
Alexandria, VA 22314
Phone (703) 299-0051

National Provider Directory

National Provider Directory

Locations

218 N Lee St
Fl 3
Alexandria, VA 22314
Phone (571) 572-9526

218 N Lee St
Ste 201
Alexandria, VA 22314
Phone (703) 299-0051

2869 Duke St
Alexandria, VA 22314
Phone (703) 299-0051

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1417165168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N. LEE ST. 3RD FLOOR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-299-0051",
            "fax_number": "571-495-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N. LEE ST. 3RD FLOOR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-299-0051",
            "fax_number": "571-495-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "585-943-4624"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004163",
            "primary": false
        }
    ],
    "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 Feb 7, 2023; 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.