Organization Active NPI

Applied Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Fairfax, VA
National Provider Identifier
1649305277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0557401-7 Issued in VA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.