Active NPI
Thanh Yen Ly, ATC
- Athletic Trainer
- Oakton, VA
National Provider Identifier
1780176230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2960 Chain Bridge Rd Ste 201
Oakton, VA 22124-3040 - Phone
- (703) 242-6460
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
2960 Chain Bridge Rd Ste 201
Oakton, VA 22124-3040
Mailing address
3304 Nevius St
Falls Church, VA 22041-1712
Phone (571) 224-6593
Other practice location 1
7521 Jaguar Trl
Falls Church, VA 22042-7511
Phone (703) 207-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1780176230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 NEVIUS ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411712",
"telephone_number": "571-224-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 CHAIN BRIDGE RD STE 201",
"city": "OAKTON",
"state": "VA",
"postal_code": "221243040",
"telephone_number": "703-242-6460"
}
],
"practiceLocations": [
{
"address_1": "7521 Jaguar Trl",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220427511",
"country_code": "US",
"telephone_number": "703-207-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LY",
"first_name": "THANH",
"middle_name": "YEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.