NPIMap

Organization Active NPI

Bull Dawg Athletic Training, LLC

  • Physical Therapy Clinic/Center
  • Arlington, VA
National Provider Identifier
1487964672
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305205611 Issued in VA
Legal business name
BULL DAWG ATHLETIC TRAINING, LLC
Practice address
5001 Lee Hwy
Suite 102
Arlington, VA 22207-2538
Phone
(571) 970-6068
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Tammy M Robinson, DPTNPI 1538317037
Title
Partner
Phone
(571) 970-6068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305205611 VA Primary

Addresses

Primary practice location

5001 Lee Hwy
Suite 102
Arlington, VA 22207-2538

Mailing address

5001 Lee Hwy
Suite 102
Arlington, VA 22207-2538
Phone (571) 970-6068

Other names 1

  • Bull Dawg Athletic Training, Physical and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020001760 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931378676 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

5001 Langston Blvd
Ste 102
Arlington, VA 22207
Phone (571) 970-6068

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1487964672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 LEE HWY",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072538",
            "telephone_number": "571-970-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 LEE HWY",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072538",
            "telephone_number": "571-970-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL DAWG ATHLETIC TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "571-970-6068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305205611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bull Dawg Athletic Training, Physical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.