Premier Pediatric Therapy Source, Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119005367 Issued in VA

Legal business name

PREMIER PEDIATRIC THERAPY SOURCE, INC.

Practice address

2776 S Arlington Mill Dr # 534
Arlington, VA 22206-3402

Phone

(703) 879-2479

Fax

(703) 879-2803

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Debbie Allen, OTDNPI 1265634026

Title

President & Ceo

Phone

(703) 879-2479

Specialties & licenses 1

Addresses

Practitioners 1

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

• Debbie Allen, OTD, OTRL

  • Pediatric Occupational Therapist
  • Annandale, VA
  • NPI 1265634026

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1629315411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 S ARLINGTON MILL DR # 534",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063402",
            "telephone_number": "703-879-2479",
            "fax_number": "703-879-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 S ARLINGTON MILL DR # 534",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063402",
            "telephone_number": "703-879-2479",
            "fax_number": "703-879-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRIC THERAPY SOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "703-879-2479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119005367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanti Prasad, M.D.
• Sadiksha Prasain, OD
• Susanne Lashgari Prather, MD
• Preeti Rana M.D. PC
• Premier Dental
• Premier Primary Care Physicians, P.C.
• Henry Prempeh, PH.D
• Lauren Prestera, APRN
• Elna Rose Preston, FNP-C
• Melissa Margaret Preston, LCSW

• Pediatric Occupational Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.