Stephanie Angle, DPT

Individual provider Active NPI Physical Therapist · Fairfax, VA

NPI 1487804274 · NPPES record last updated Sep 29, 2008

Key facts

NPI
1487804274
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305205669 (VA)
Practice address
8301 Arlington Blvd
Fairfax, VA 22031-2902
Phone
(703) 207-8513
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2305205669VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lopez & Associates Therapy Group, PC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205669 VA Yes

Addresses

Primary practice location

8301 Arlington Blvd
Fairfax, VA 22031-2902

Mailing address

4303 Vermont Ave
Alexandria, VA 22304-4921

Other providers in Fairfax, VA

All providers in Fairfax, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.