Active NPI
Applied Physical Therapy, Inc
- Physical Therapy Clinic/Center
- Fairfax, VA
National Provider Identifier
1649305277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 0557401-7
- Legal business name
- APPLIED PHYSICAL THERAPY, INC
- Practice address
- 10373A Democracy LN
Fairfax, VA 22030-2505 - Phone
- (703) 385-2855
- Fax
- (703) 691-3127
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carolyn Kamm
- Title
- Admin Asst
- Phone
- (703) 830-8012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 0557401-7 | VA | Primary |
Addresses
Primary practice location
10373A Democracy LN
Fairfax, VA 22030-2505
Mailing address
10373A Democracy LN
Fairfax, VA 22030-2505
Phone (703) 385-2855
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649305277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10373A DEMOCRACY LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302505",
"telephone_number": "703-385-2855",
"fax_number": "703-691-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10373A DEMOCRACY LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302505",
"telephone_number": "703-385-2855",
"fax_number": "703-691-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLIED PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAMM",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "ADMIN ASST",
"authorized_official_telephone_number": "703-830-8012",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "0557401-7",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.