Organization Active NPI

Pediatric Therapy Specialists, PLC

  • Specialist
  • Fairfax, VA
National Provider Identifier
1962592691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEDIATRIC THERAPY SPECIALISTS, PLC
Practice address
9673 Main St Ste a
Fairfax, VA 22031-3761
Phone
(703) 503-5300
Fax
(703) 503-5387
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Natasha Nelam Malhotra, MSOTR LNPI 1336502780
Title
Owner
Phone
(703) 503-5300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X VA Primary

Addresses

Primary practice location

9673 Main St Ste a
Fairfax, VA 22031-3761

Mailing address

9673 Main St Ste a
Fairfax, VA 22031-3761
Phone (703) 503-5300

National Provider Directory

National Provider Directory

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962592691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9673 MAIN ST STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313761",
            "telephone_number": "703-503-5300",
            "fax_number": "703-503-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9673 MAIN ST STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313761",
            "telephone_number": "703-503-5300",
            "fax_number": "703-503-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "NELAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-503-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOTR L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.