Veena Akula

Individual provider Active NPI Physical Therapist · Ashburn, VA

NPI 1689116170 · NPPES record last updated Nov 15, 2016

Key facts

NPI
1689116170
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
25419 (MD)
Practice address
22847 Angelique Dr
Ashburn, VA 20148-5649
Phone
(703) 609-2081
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25419MDMDClinical Social Worker
038724NYMDPhysical Therapist
1283131TXMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25419 MD Yes
Physical Therapist 225100000X 038724 NY
Physical Therapist 225100000X 1283131 TX

Addresses

Primary practice location

22847 Angelique Dr
Ashburn, VA 20148-5649

Mailing address

22847 Angelique Dr
Ashburn, VA 20148-5649
Phone (703) 609-2081

Other providers in Ashburn, VA

All providers in Ashburn, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.