Active NPI
Yvonne Asante Kuffour
- Physical Therapy Assistant
- Lorton, VA
National Provider Identifier
1669977294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306603578
- Practice address
- 8350 Mountain Larkspur Dr
Lorton, VA 22079-5728 - Phone
- (571) 348-4970
- NPI assigned
- Mar 26, 2018
- Last updated
- Mar 26, 2018
- 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 Therapy Assistant | 225200000X | 2306603578 | VA | Primary |
Addresses
Primary practice location
8350 Mountain Larkspur Dr
Lorton, VA 22079-5728
Mailing address
5262 Quebec PL
Woodbridge, VA 22193-4569
Phone (301) 905-7465
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 |
|---|---|---|---|
| 2306603578 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1669977294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5262 QUEBEC PL",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221934569",
"telephone_number": "301-905-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 MOUNTAIN LARKSPUR DR",
"city": "LORTON",
"state": "VA",
"postal_code": "220795728",
"telephone_number": "571-348-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASANTE KUFFOUR",
"first_name": "YVONNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306603578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.