Pediatric Therapy Partners of Nova, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204619 Issued in VA

Legal business name

PEDIATRIC THERAPY PARTNERS OF NOVA, LLC

Practice address

3623 Tupelo PL
Alexandria, VA 22304-1844

Phone

(571) 212-6145

Fax

(888) 750-4126

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Chrissy Booher

Title

Ms, PT

Phone

(571) 212-6145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1942634464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 TUPELO PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041844",
            "telephone_number": "571-212-6145",
            "fax_number": "888-750-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 TUPELO PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041844",
            "telephone_number": "571-212-6145",
            "fax_number": "888-750-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY PARTNERS OF NOVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "BOOHER",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "MS, PT",
        "authorized_official_telephone_number": "571-212-6145"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Peck
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• Jason Michael Pedowitz, MD
• Peek-a-Boo Speech PLLC
• Susan Peetros, NP

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.