Organization Active NPI

Sunshine Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Alexandria, VA
National Provider Identifier
1649434119
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305204534 Issued in VA
Legal business name
SUNSHINE PHYSICAL THERAPY PC
Practice address
6408 Grovedale Dr
Suite 203
Alexandria, VA 22310-2595
Phone
(703) 347-5903
Fax
(703) 313-0081
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Bahaa Mohamed Afifi, DPTNPI 1104946144
Title
President
Phone
(703) 347-5903

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305204534 VA Primary

Addresses

Primary practice location

6408 Grovedale Dr
Suite 203
Alexandria, VA 22310-2595

Mailing address

6408 Grovedale Dr
Suite 203
Alexandria, VA 22310-2595
Phone (703) 347-5903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000694 DC Part B Supplier - Clinic/Group Practice 5496815409 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

3606 Forest Dr
Fl 2
Alexandria, VA 22302

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1649434119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 GROVEDALE DR",
            "address_2": "SUITE 203",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102595",
            "telephone_number": "703-347-5903",
            "fax_number": "703-313-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 GROVEDALE DR",
            "address_2": "SUITE 203",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102595",
            "telephone_number": "703-347-5903",
            "fax_number": "703-313-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "AFIFI",
        "authorized_official_first_name": "BAHAA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-347-5903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305204534",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.