Individual provider Active NPI

Stephanie Mae Karavatas Brizek, LPTA

  • Physical Therapy Assistant
  • Manassas, VA
National Provider Identifier
1518549864
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306603124 Issued in VA
Practice address
8525 Rolling Rd Ste 320
Manassas, VA 20110-3673
Phone
(703) 361-0465
Fax
(571) 535-4363
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306603124 VA Primary

Addresses

Primary practice location

8525 Rolling Rd Ste 320
Manassas, VA 20110-3673

Mailing address

7406 Erska Woods CT
Springfield, VA 22153-2002
Phone (703) 232-4211

Other names 1

  • Stephanie Mae Karavatas Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306603124VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1518549864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 ERSKA WOODS CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532002",
            "telephone_number": "703-232-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD STE 320",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103673",
            "telephone_number": "703-361-0465",
            "fax_number": "571-535-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZEK",
        "first_name": "STEPHANIE",
        "middle_name": "MAE KARAVATAS",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KARAVATAS",
            "middle_name": "MAE",
            "credential": "LPTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.