Avirajsinh Chudasama, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214352 Issued in VA

Practice address

3620 Joseph Siewick Dr Ste 100
Fairfax, VA 22033-1757

Phone

(703) 277-2663

NPI assigned

Jul 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Avi Chudasama Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1790356004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DRIVE",
            "address_2": "SUITE 100A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331757",
            "telephone_number": "703-810-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331757",
            "telephone_number": "703-277-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDASAMA",
        "first_name": "AVIRAJSINH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1497007850",
            "affiliation": "N",
            "address_1": "3620 Joseph Siewick Dr Ste 100",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AVI",
            "last_name": "CHUDASAMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Theresa Christophersen
• Teresina M S Christy, LPC LMFT
• Cecilia Chrosny, LCSW
• Eric Teh-Chuan Chu, D.C.
• Gwen Huyen Chu, P.T.
• Mi Hei Hei Chung Cho, M.D.
• CHI Whan Chung, DDS
• Helen Chung, RDN
• Michael Sung Chung, M.D.
• Sandy L. Chung, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.