Active NPI
Project Health Physical Therapy and Wellness LLC
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1740009703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROJECT HEALTH PHYSICAL THERAPY AND WELLNESS LLC
- Practice address
- 4401 Fair Lakes CT # 304
Fairfax, VA 22033-3805 - Phone
- (917) 615-3518
- NPI assigned
- Oct 7, 2024
- Last updated
- Oct 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdulrahman Alahmad, PT
- Title
- Owner/Physical Therapist
- Phone
- (917) 615-3518
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
4401 Fair Lakes CT # 304
Fairfax, VA 22033-3805
Mailing address
3638 Buckeye CT
Fairfax, VA 22033-1254
Phone (917) 615-3518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4401 Fair Lakes Ct
Ste 304
Fairfax, VA 22033
Phone (971) 615-3518
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1740009703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3638 BUCKEYE CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331254",
"telephone_number": "917-615-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 FAIR LAKES CT # 304",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333805",
"telephone_number": "917-615-3518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT HEALTH PHYSICAL THERAPY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "ALAHMAD",
"authorized_official_first_name": "ABDULRAHMAN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "917-615-3518",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.