Active NPI
Behnaz Ghoraishi Struthers, PT
- Physical Therapist
- Springfield, VA
National Provider Identifier
1669672085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204491
- Practice address
- 8348 Traford LN
Suite 100
Springfield, VA 22152-1663 - Phone
- (703) 569-7335
- Fax
- (703) 569-0665
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204491 | VA | Primary |
Addresses
Primary practice location
8348 Traford LN
Suite 100
Springfield, VA 22152-1663
Mailing address
9900 Main St
Suite 200a
Fairfax, VA 22031-3907
Phone (703) 279-4249
Other names 1
- Behnaz Chang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204491 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1669672085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 MAIN ST",
"address_2": "SUITE 200A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313907",
"telephone_number": "703-279-4249",
"fax_number": "703-279-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8348 TRAFORD LN",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521663",
"telephone_number": "703-569-7335",
"fax_number": "703-569-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUTHERS",
"first_name": "BEHNAZ",
"middle_name": "GHORAISHI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEHNAZ",
"last_name": "CHANG",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.