FREDERIC WIXSON (NPI# 1194363523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194363523 |
| Entity Type | Individual |
| Full Name | FREDERIC WIXSON |
| Credential | MSPT, GCS |
| Practice Address |
417 E Windsor Ave Alexandria VA 22301-1227 |
| Practice Telephone | 7037398244 |
| Mailing Telephone | 7037398244 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305005410 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NONE | 000000 | 01 |
| Street Address |
417 E WINDSOR AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22301-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751405 | Paige Elise Cantfil | Nurse Practitioner | 415 Monroe Ave, Alexandria, VA 22301 | 2018-08-28 |
| 1194267021 | Sedationmd Inc | Anesthesiology | 2111 Main Line Blvd, Alexandria, VA 22301 | 2016-11-09 |
| 1831549799 | Amy Howard | Counselor | 118 East Del Ray Avenue, #8, Alexandria, VA 22301 | 2016-06-21 |
| 1508260316 | Krystal Patel | Pharmacist | 1517 Mt. Vernon Ave, Alexandria, VA 22301 | 2014-10-22 |
| 1548680317 | Kelsey Marie Sanford | Anesthesiology | 519 E Luray Ave, Alexandria, VA 22301 | 2014-04-21 |
| 1609201540 | Patricio Penaherrera | Student in an Organized Health Care Education/Training Program | 89440 Old Keene Mill Road, Springfield, VA 22301 | 2013-09-11 |
| 1861825721 | Karen Nesbit Chaudhry | Social Worker | 8500 Executive Avenue, Suite 204, Fairfax, VA 22301 | 2013-08-14 |
| 1356603922 | Gregory James Cardinal | Podiatrist | 2201 Mount Vernon Ave Ste 105, Alexandria, VA 22301 | 2012-06-11 |
| 1588948137 | Carol Ann Whitmire | Acupuncturist | 2101 Mt. Vernon Ave., Alexandria, VA 22301 | 2011-09-30 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| Find all providers in zip 22301 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1568839249 | Ashton Physical Therapy Center | Clinic/Center | 5510 Cherokee Ave Ste 250, Alexandria, VA 22312-2320 | 2015-08-28 |
| 1265724421 | Lori P. Alexander, Mspt, LLC | Clinic/Center | 3805 Sulgrave Dr, Alexandria, VA 22309-2623 | 2011-05-06 |
| 1649434119 | Sunshine Physical Therapy PC | Clinic/Center | 6408 Grovedale Dr, Suite 203, Alexandria, VA 22310-2595 | 2008-07-14 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1700850401 | Miller Physical Therapy Inc | Clinic/Center | 3912 Parliament Dr, Alexandria, LA 71303-3015 | 2006-02-17 |
| 1730536525 | Nova Sports and Spine Physical Therapy | Clinic/Center | 7724 Hayfield Rd, Alexandria, VA 22315-4052 | 2016-05-21 |
| 1093127581 | Inova | Clinic/Center | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2014-06-02 |
| 1518399039 | Tricia Ashton PC | Clinic/Center | 5510 Cherokee Ave, Suite 250, Alexandria, VA 22312-2320 | 2013-08-07 |
| 1487905477 | Balance Rehab Physical Therapy LLC | Clinic/Center | 7202 Fordson Rd, Alexandria, VA 22306-7217 | 2012-10-01 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22301 |
Please comment or provide details below to improve the information on FREDERIC WIXSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.