Individual provider Active NPI

Anusha Sunderarajan, MPT

  • Orthopedic Physical Therapist
  • Lansdowne, VA
National Provider Identifier
1942592019
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305207863 Issued in VA
Practice address
19465 Deerfield Ave Ste 108
Lansdowne, VA 20176-1702
Phone
(703) 723-4088
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23581 MD
Orthopedic Physical Therapist 2251X0800X 2305207863 VA Primary
Physical Therapist 225100000X PT871191 DC

Addresses

Primary practice location

19465 Deerfield Ave Ste 108
Lansdowne, VA 20176-1702

Mailing address

19465 Deerfield Ave Ste 108
Lansdowne, VA 20176-1702
Phone (703) 723-4088

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23581MDMDSocial Worker
PT871191DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Rehabilitation, LLC Physical Therapist CurrentSince Jul 13, 2012 Accepting new patients

Locations

267 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 288-9761

8206 Leesburg Pike
Ste 402
Vienna, VA 22182
Phone (703) 356-3470

13854 Smoketown Rd
Woodbridge, VA 22192
Phone (703) 670-9935

Organizations & group practices 1

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1942592019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 108",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761702",
            "telephone_number": "703-723-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 108",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761702",
            "telephone_number": "703-723-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERARAJAN",
        "first_name": "ANUSHA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23581",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305207863",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.