Individual provider Active NPI

Alexa Shea, PT

  • Physical Therapist
  • Springfield, VA
National Provider Identifier
1487639670
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212923 Issued in VA
Practice address
8348 Traford LN Ste 100
Springfield, VA 22152-1650
Phone
(703) 569-7335
Fax
(703) 569-0665
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 2305212923 VA Primary

Addresses

Primary practice location

8348 Traford LN Ste 100
Springfield, VA 22152-1650

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

712 1st Ter Ste 103
Lansing, KS 66043-1735
Phone (913) 727-2022

Other practice location 2

721 Reservoir Ave
Cranston, RI 02910-4430
Phone (401) 946-4250

Other names 1

  • Ms. Alexa Arce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928003327 DC Practitioner - Physical Therapist in Private Practice 9931098332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy of Northern Virginia LTD Physical Therapist CurrentSince Jul 29, 2021 Accepting new patients
Inova Health Care Services Past Accepting new patients
Physiologic Physical Therapy PC Physical Therapist PastSince Mar 1, 1994 Accepting new patients

Locations

7023 Little River Tpke
Ste 400
Annandale, VA 22003
Phone (703) 354-1230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1487639670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LN STE 100",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521650",
            "telephone_number": "703-569-7335",
            "fax_number": "703-569-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 1st Ter Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660431735",
            "country_code": "US",
            "telephone_number": "913-727-2022",
            "fax_number": "913-727-2033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Reservoir Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029104430",
            "country_code": "US",
            "telephone_number": "401-946-4250",
            "fax_number": "401-275-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "ALEXA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "ARCE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.