PRINCE WILLIAM COUNTY COMMUNITY SERVICES BOARD (NPI# 1457484412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457484412 |
| Entity Type | Organization |
| Organization Name | PRINCE WILLIAM COUNTY COMMUNITY SERVICES BOARD |
| Practice Address |
7969 Ashton Ave Manassas VA 20109-2885 |
| Practice Telephone | 7037927800 |
| Practice Fax Number | 7037925699 |
| Mailing Telephone | 7037927800 |
| Mailing Fax Number | 7037925699 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TOM GEIB (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7037927800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCSB PT REHAB SVCS | 187835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508995788 | Prince William County Community Services Board | Clinic/Center | 7969 Aston Ave, Manassas, VA 20109 | 2007-03-05 |
| 1851424832 | Prince William County Community Services Board | Clinic/Center | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2007-03-13 |
| 1427181494 | Prince William County Community Services Board | Occupational Therapist | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2007-03-13 |
| 1053402800 | Prince William County Community Services Board | Clinic/Center | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2006-09-27 |
| Street Address |
7969 ASHTON AVE |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326014853 | Jasdeep S Miglani | Psychiatry & Neurology | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2006-02-24 |
| 1801494489 | Khalida Jahed | Social Worker | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-10-15 |
| 1346863214 | Samuel Woldeghebriel Seium | Counselor | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-05-26 |
| 1255954798 | Linda Deniece Winn | Social Worker | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-05-19 |
| 1770105744 | Olivia Adelle Sweetnam | Counselor | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-05-13 |
| 1134741614 | Diminga Duke-pratt | Social Worker | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-05-07 |
| 1871121178 | Thesha Tanika Cowart | Counselor | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-03-31 |
| 1780210344 | Victoria Toadvine Neale | Counselor | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-03-16 |
| 1992330906 | Kathryn Thorn Weaver | Social Worker | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-03-10 |
| 1932734993 | Nichole Dixon Wray | Counselor | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866717 | Suzanne Marie Mains | Physical Therapist | 6580 Passage Creek Ln, Manassas, VA 20112-3877 | 2011-09-26 |
| 1285658930 | Melinda M Vaikasiene | Physical Therapist | 11036 Wooldridge Dr, Manassas, VA 20111-2903 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334175 | Elizabeth Huff | Physical Therapist | 601 S Carlin Springs Rd Ste 505, Arlington, VA 22204-1044 | 2019-09-09 |
| 1851946503 | Courtney E Marin | Physical Therapist | 2235 Tacketts Mill Dr Bldg C, Woodbridge, VA 22192-3036 | 2019-08-08 |
| 1912475419 | Kelly Laughlin | Physical Therapist | 3544 36th Rd N, Arlington, VA 22207-4817 | 2018-11-02 |
| 1336622257 | Progressive Pediatric Therapy | Physical Therapist | 150 S. Washington St., #203, Falls Church, VA 22124 | 2018-09-07 |
| 1013413699 | Melissa Anne Casey | Physical Therapist | 778 Springsbury Rd, Berryville, VA 22611-1513 | 2018-04-03 |
| 1316443336 | Rhea Amber Whitlock | Physical Therapist | 615 East St, Blackstone, VA 23824-2231 | 2018-03-30 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1144758889 | Kristen Michelle Mcbee | Physical Therapist | 2781 Jefferson Davis Hwy, Stafford, VA 22554-8322 | 2017-05-25 |
| 1316313588 | Elizabeth Anne Brewer | Physical Therapist | 23 Curle Road, Hampton, VA 23669 | 2015-08-11 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.