Nana Abena Ago Boateng, OTD, R/L

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

118820-2026 Issued in VA

Practice address

218 N Lee St FL 3
Alexandria, VA 22314-2631

Phone

(703) 299-0051

NPI assigned

Jun 10, 2022

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

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.

• Spectrum Pediatrics

  • Pediatric Rehabilitation Medicine Physician
  • Alexandria, VA
  • NPI 1417165168
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1417686726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7782 ROTHERHAM DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761460",
            "telephone_number": "443-410-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N LEE ST FL 3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142631",
            "telephone_number": "703-299-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "NANA ABENA",
        "middle_name": "AGO",
        "name_prefix": "Ms.",
        "credential": "OTD, R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "VA",
            "license": "118820-2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Elysia Blumenson
• Kathryn Anne Bly
• Jennifer L Boada, NP
• Taylor Ashlee Boamah, LPC
• Esther A Boateng, MSN, APRN, FNP-BC
• Viktor Vladimir Bocharnikov, CMT
• Bodies in Motion Physical Therapy IV, LLC (Bodies In Motion PT IV)
• Bodnar Chiropractic Center Inc
• Brian John Bodnar, DC
• Cynthia Bodnar, M.A., B.C.B.A.

• Pediatric Rehabilitation Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Rehabilitation Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.