NPIMap

Organization Active NPI

Early Start Therapy

  • Speech-Language Pathologist
  • Alexandria, VA
National Provider Identifier
1619274685
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EARLY START THERAPY
Practice address
6416 Grovedale Dr Ste 300
Alexandria, VA 22310-2678
Phone
(703) 813-6330
Fax
(301) 710-6379
NPI assigned
Feb 28, 2011
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Deborah Bolanle AkinyeleNPI 1487968848
Title
Ceo
Phone
(301) 254-0782

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 Therapist 2251P0200X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

6416 Grovedale Dr Ste 300
Alexandria, VA 22310-2678

Mailing address

2445 Army Navy Dr
Suite 305
Arlington, VA 22206-2905
Phone (703) 813-6330

Other identifiers 2

IdentifierTypeStateIssuer
037761900MedicaidMD
1619274685MedicaidVA

National Provider Directory

National Provider Directory

Locations

6416 Grovedale Dr
Ste 300
Alexandria, VA 22310
Phone (703) 813-6330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1619274685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "address_2": "SUITE 305",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-813-6330",
            "fax_number": "301-710-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 GROVEDALE DR STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102678",
            "telephone_number": "703-813-6330",
            "fax_number": "301-710-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY START THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "AKINYELE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "BOLANLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-254-0782"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037761900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619274685",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.