Aerodream LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205179 Issued in VA

Legal business name

AERODREAM LLC

Practice address

8530 Amanda PL
Vienna, VA 22180-6873

Phone

(240) 505-5544

Fax

(301) 365-4203

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Conrad Sultan Osipowicz

Title

President

Phone

(240) 505-5544

Specialties & licenses 1

Addresses

Other names 1

• Blue Room Physical Therapy Doing business as

Locations

Practitioners 3

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

• Shilpa Arimanda

  • Physical Therapist
  • Ashburn, VA
  • NPI 1326308834
  NPD (past)
• Betsy Bowen, PT

  • Physical Therapist
  • Mount Airy, MD
  • NPI 1811996994
  NPD (past)
• Noah L Kubissa, PT

  • Physical Therapist
  • Englewood, NJ
  • NPI 1740559806
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1982859930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 DULLES TECHNOLOGY DR",
            "address_2": "SUITE 2",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713401",
            "telephone_number": "240-505-5544",
            "fax_number": "301-365-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 AMANDA PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806873",
            "telephone_number": "240-505-5544",
            "fax_number": "301-365-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERODREAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "OSIPOWICZ",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "SULTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-505-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Room Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Laparoscopic and General Surgery Associates, PLLC
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• Advanced Pediatrics PLLC
• Advanced Retina Center, LC
• Shiva Adyaniyazdi, FNP-BC
• Aesthetic & Laser Plastic Surgery Center
• Daniel Afzal
• Melinda Agarwal
• Swati Agarwal
• Selina Agyin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.