DR. MICHAEL GEORGE LEVRINI (NPI# 1366594426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366594426 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GEORGE LEVRINI |
| Credential | DHSC PT ECS |
| Practice Address |
11670 Bennington Woods Rd Reston VA 20194-1610 |
| Practice Telephone | 7037878434 |
| Practice Fax Number | 7037878434 |
| Mailing Telephone | 7037878434 |
| Mailing Fax Number | 7037878434 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
2305005514 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA PROVIDER NUMBER | 7740445 | 01 |
| VA | MAMSI PROVIDER # | 299977 | 01 |
| VA | 010027268 | 05 | |
| VA | ANTHEM BC BS PROV NUMBER | 259143 | 01 |
| Street Address |
11670 BENNINGTON WOODS RD |
| City | RESTON |
| State | VA |
| Zip Code | 20194-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1992949887 | Katherine Margaret M. Wendell | Registered Nurse | 11609 Deer Forest Rd, Reston, VA 20194-1104 | 2009-04-23 |
| 1922582790 | Pamela Anne Marie Williams | Nurse's Aide | 11731 Summerchase Cir Apt D, Reston, VA 20194-1141 | 2018-09-18 |
| 1760773303 | Maureen Patricia Wait | Occupational Therapist | 11706 Great Owl Cir, Reston, VA 20194-1175 | 2011-05-01 |
| 1114934650 | Mark E Franke | Emergency Medicine | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-08-01 |
| 1912930264 | Giant of Maryland LLC | Pharmacy | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-07-09 |
| 1972104669 | Ruth Gebremicael | Pharmacist | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2020-11-08 |
| 1922609825 | Tamara Cohen | Pharmacist | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2020-11-06 |
| 1558923060 | Pranee Chanthavongsa Smarsh | Nurse Practitioner | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2019-07-03 |
| Find all providers in zip 20194 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265996292 | Michael T Tamburello | Physical Therapist | 725 Volvo Pkwy Ste 210, Chesapeake, VA 23320-1621 | 2019-01-23 |
| 1316401359 | Electrophysiologic Testing and Physical Therapy Services | Physical Therapist | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-01-23 |
Please comment or provide details below to improve the information on DR. MICHAEL GEORGE LEVRINI.
| 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.