Still Water Physical Therapy , PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005991 Issued in VA

Legal business name

STILL WATER PHYSICAL THERAPY , PLLC

Practice address

15611 Andover Heights Drive
Woodbridge, VA 22193-1072

Phone

(703) 583-6899

Fax

(703) 583-6899

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Saile Hess, PT

Title

Owner

Phone

(703) 583-6899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1770544397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 ANDOVER HEIGHTS DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931072",
            "telephone_number": "703-583-6899",
            "fax_number": "703-583-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 ANDOVER HEIGHTS DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931072",
            "telephone_number": "703-583-6899",
            "fax_number": "703-583-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATER PHYSICAL THERAPY , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SAILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-583-6899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Stephens
• Michael Ross Sternberg, M.D.
• Steven Han DC PC
• Matthew Stevens, LPC
• Samantha Stevens, LPC
• Juanita Patricia Stokes, LPC
• Rebecca Ann Stone, CRNP
• Tonya L Stone
• Maria Stratakos, DPT
• Isabel Stratton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.