Individual provider Active NPI

Deborah Ann Abdow-Addis, PT, MS

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1881768679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305002051 Issued in VA
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
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305002051 VA Primary
Physical Therapist 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15227MDMDPhysical Therapist
2305002051VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pat Leach, Otr/L Past Accepting new patients
Deborah Abdow-Addis Dba Pediatric Physical Therapy Services Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and 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-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881768679",
    "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": {
        "last_name": "ABDOW-ADDIS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002051",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_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 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.