NPIMap

Organization Active NPI

Dynamic Therapeutic Services of Virginia

  • Early Intervention Provider Agency
  • Alexandria, VA
National Provider Identifier
1821366212
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DYNAMIC THERAPEUTIC SERVICES OF VIRGINIA
Practice address
14 E Custis Ave
Alexandria, VA 22301-1422
Phone
(866) 380-6611
Fax
(866) 695-0107
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mr. Robert Frank
Title
Ceo
Phone
(866) 380-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

14 E Custis Ave
Alexandria, VA 22301-1422

Mailing address

14 E Custis Ave
Alexandria, VA 22301-1422
Phone (866) 380-6611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1821366212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E CUSTIS AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011422",
            "telephone_number": "866-380-6611",
            "fax_number": "866-695-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E CUSTIS AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011422",
            "telephone_number": "866-380-6611",
            "fax_number": "866-695-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPEUTIC SERVICES OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-380-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.