Teri Diane Braxton-Colwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20490 Issued in MD

Practice address

20535 Earhart PL
Sterling, VA 20165-3581

Phone

(703) 404-5223

Fax

(703) 404-5206

NPI assigned

Nov 10, 2006

Sex

Female

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

• Miss Teri Diane Braxton Former name

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801967203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20496 BLUE HERON TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656573",
            "telephone_number": "703-450-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20535 EARHART PL",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201653581",
            "telephone_number": "703-404-5223",
            "fax_number": "703-404-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON-COLWELL",
        "first_name": "TERI",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "BRAXTON",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Sterling, VA
• Providers in Sterling, 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 8, 2007; 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.