Individual provider Active NPI

Yvonne Asante Kuffour

  • Physical Therapy Assistant
  • Lorton, VA
National Provider Identifier
1669977294
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306603578 Issued in VA
Practice address
8350 Mountain Larkspur Dr
Lorton, VA 22079-5728
Phone
(571) 348-4970
NPI assigned
Mar 26, 2018
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2306603578VAMDPhysical 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.

Verify at the official NPI Registry.