Ciara Petry, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213285 Issued in VA

Practice address

7321 Wayne Dr
Annandale, VA 22003-1742

Phone

(240) 372-1141

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primus Physical Therapy

  • Physical Therapist
  • Centreville, VA
  • NPI 1871959726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1720616162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 WAYNE DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 WAYNE DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031742",
            "telephone_number": "240-372-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "CIARA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Surgical Associates of Northern Virginia
• Loverly Glaze Pelayo-Pugh
• Leonel Perez Jr., D.D.S, M.D., F.A.C.S
• Personic Neuropsych PLLC
• Peter D Kim MD PC
• Sarah D Petty, L. AC.
• Audra Victoria Phalen, LCSW, LICSW
• Andy Pham
• Hoang Nguyen Pham, M.D.
• Quang H. Pham, MD

• Physical Therapist in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.