Organization Active NPI

Therapy 4 Kids, LLC

  • Pediatric Physical Therapist
  • Fairfax, VA
National Provider Identifier
1609904341
Registry record updated Oct 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2305202398 Issued in VA
Legal business name
THERAPY 4 KIDS, LLC
Practice address
9685 Main St Ste B
Fairfax, VA 22031-3752
Phone
(703) 978-8400
Fax
(703) 978-9898
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2007

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

Authorized official

Name
Mrs. Lorna Sher, OTNPI 1881724425
Title
Vice President
Phone
(703) 978-8400

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 2305202398 VA Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 0119002945 VA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2202003923 VA

Addresses

Primary practice location

9685 Main St Ste B
Fairfax, VA 22031-3752

Mailing address

9685 Main St Ste B
Fairfax, VA 22031-3752
Phone (703) 978-8400

Other identifiers 7

IdentifierTypeStateIssuer
192066OtherVAANTHEM BCBS OT
192067OtherVAANTHEM BCBS SPEECH
192064OtherVAANTHEM BCBS PT
3429217OtherVAAETNA PPO
7347554OtherVAAETNA HMO
696852OtherVAUNITED HEALTH CARE
G663OtherVACARE FIRST BCBS

National Provider Directory

National Provider Directory

Locations

9685 Main St
Ste B
Fairfax, VA 22031
Phone (703) 978-8400

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192233600000",
    "number": "1609904341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 MAIN ST STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313752",
            "telephone_number": "703-978-8400",
            "fax_number": "703-978-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 MAIN ST STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313752",
            "telephone_number": "703-978-8400",
            "fax_number": "703-978-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY 4 KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-10-13",
        "status": "A",
        "authorized_official_last_name": "SHER",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-978-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305202398",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119002945",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS  OT",
            "identifier": "192066",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS SPEECH",
            "identifier": "192067",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PT",
            "identifier": "192064",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "3429217",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7347554",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "696852",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "G663",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; 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.