Nova Terra Therapy PLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NOVA TERRA THERAPY PLC

Practice address

5213A Lyngate CT
Burke, VA 22015-1698

Phone

(703) 868-8609

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Brokamp, LPC

Title

Founder

Phone

(703) 868-8609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1992337141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 S VALLEY DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392971",
            "telephone_number": "703-868-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213A LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151698",
            "telephone_number": "703-868-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA TERRA THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "BROKAMP",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "703-868-8609",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamsa Noor
• Roshanak Norouzi
• Nova Headache & Chronic Pain Center
• Nova Headache and Chronic Pain Center, PLLC
• Nova Orofacial Pain, TMD & Dental Sleep Medicine
• Novamotion Physical Therapy LLC
• Suad Talal Nsouli, FNP-C
• Talal M. Nsouli, M.D
• Salvatore Nuccio, DC
• Melissa Anne Jones Nulton, PHARMD

• Community/Behavioral Health Agency in Burke, VA
• Providers in Burke, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.