NPIMap

Organization Active NPI

Shakya Rehab LLC

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1710388228
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SHAKYA REHAB LLC
Practice address
1041 S Edgewood St
Arlington, VA 22204-4813
Phone
(571) 315-2637
Fax
(703) 521-0373
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Ujjwal Shakya, DPT
Title
Physical Therapist
Phone
(571) 315-2637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1041 S Edgewood St
Arlington, VA 22204-4813

Mailing address

6714 Westcott Rd
Falls Church, VA 22042-2718
Phone (571) 315-2637

Other names 1

  • MMA & Sports Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1041 S Edgewood St
Arlington, VA 22204
Phone (571) 315-2637

932 S Walter Reed Dr
Arlington, VA 22204

1033 S Edgewood St
Arlington, VA 22204
Phone (703) 289-0389

Practitioners & affiliated clinicians

Practitioners 6

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1710388228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 WESTCOTT RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422718",
            "telephone_number": "571-315-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S EDGEWOOD ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044813",
            "telephone_number": "571-315-2637",
            "fax_number": "703-521-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKYA REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SHAKYA",
        "authorized_official_first_name": "UJJWAL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "571-315-2637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMA & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.