Alpha Physical Therapy Accupuncture and Herbs Center. LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305204167 Issued in VA

Legal business name

ALPHA PHYSICAL THERAPY ACCUPUNCTURE AND HERBS CENTER. LLC

Practice address

2826 Old Lee Hwy
Suite 200
Fairfax, VA 22031-4323

Phone

(703) 890-1717

Fax

(703) 206-0029

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Kwang Y Yi, PTNPI 1831246107

Title

Owner

Phone

(703) 890-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kwang Y Yi, PT

  • Physical Therapist
  • Centreville, VA
  • NPI 1831246107

  DC

  Medicare reassignment NPD Authorized official
• Grace Yilan Jun, L.AC

  • Acupuncturist
  • Fairfax, VA
  • NPI 1801673827
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801930631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-890-1717",
            "fax_number": "703-206-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-890-1717",
            "fax_number": "703-206-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA PHYSICAL THERAPY ACCUPUNCTURE AND HERBS CENTER. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-890-1717",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305204167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Alonso-Sibenik
• Alpa Patel MD PLLC
• Joel Barry Alperstein, MD
• Alpha Home Care Services LLC
• Alpha Home Health Services, LLC.
• Mary Alphonse
• Caroline Rebecca Alphonso
• Ayad A Alsaadi, M.D.
• Omar Alsaadi
• June L Alsgaard, DNP, FNP-BC

• Physical Therapy Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.