NPIMap

Organization Active NPI

Deborah Abdow-Addis Dba Pediatric Physical Therapy Services

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1831263623
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305002051 Issued in VA
Legal business name
DEBORAH ABDOW-ADDIS DBA PEDIATRIC PHYSICAL THERAPY SERVICES
Practice address
407 Church St NE Ste D
Vienna, VA 22180-4737
Phone
(703) 242-1921
Fax
(703) 242-1922
NPI assigned
Nov 20, 2006
Reactivated
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Mrs. Deborah Ann Abdow-Addis, PT,MSNPI 1881768679
Title
Owner
Phone
(703) 242-1921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2305002051 VA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 15227 MD

Addresses

Primary practice location

407 Church St NE Ste D
Vienna, VA 22180-4737

Mailing address

407 Church St NE Ste D
Vienna, VA 22180-4737
Phone (703) 242-1921

National Provider Directory

National Provider Directory

Locations

407 Church St NE
Ste D
Vienna, VA 22180
Phone (703) 242-1921

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1831263623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-1921",
            "fax_number": "703-242-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-1921",
            "fax_number": "703-242-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH ABDOW-ADDIS DBA PEDIATRIC PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-10-29",
        "deactivation_date": "2008-07-28",
        "reactivation_date": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "ABDOW-ADDIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-242-1921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT,MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002051",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.