Vipula Puntikura, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604030 Issued in VA

Practice address

12475 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2803

Phone

(571) 337-6687

NPI assigned

Jul 9, 2018

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

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1538655972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9672 CEDAR FARM CIR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315404",
            "telephone_number": "571-337-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332803",
            "telephone_number": "571-337-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNTIKURA",
        "first_name": "VIPULA",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalila Puga-Sosa
• Linda Pullen, ATC
• Pulmonary & Critical Care Specialists of Northern VA, PC
• Pulse Medical Supply LLC
• Cathy Podgorski Pumphrey, LPC
• Pure Movement Physical Therapy and Wellness LLC (Pure Movement Physical Therapy and Wellness)
• Vikas Puri
• Katherine M Purkert, LCSW
• Purple Willow Behavioral Health, LLC
• Caitlin Pyne

• Physical Therapy Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.