ORTHOCARE PHYSICAL THERAPY CENTER, LLC (NPI# 1508393174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508393174 |
| Entity Type | Organization |
| Organization Name | ORTHOCARE PHYSICAL THERAPY CENTER, LLC |
| Practice Address |
13135 Lee Jackson Memorial Hwy Ste 320 Fairfax VA 22033-1907 |
| Mailing Address |
5290 Jule Star Dr Centreville VA 20120-3006 |
| Practice Telephone | 7033495324 |
| Mailing Telephone | 7033495324 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Authorized Official Name | SHRUTI AMBEGAONKAR (OWNER) |
| Authorized Official Telephone | 7033495324 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305205344 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13135 LEE JACKSON MEMORIAL HWY STE 320 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326137712 | Stephanie James Harris | Physical Therapist | 4211 Fairfax Corner Ave E, Suite 200, Fairfax, VA 22030-8622 | 2006-10-12 |
| 1760404719 | Kevin Linde | Physical Therapist | 3913 Old Lee Hwy, Suite 31c, Fairfax, VA 22030-2433 | 2006-07-25 |
| 1972120061 | Minh Phan | Physical Therapist | 10260 Main St, Fairfax, VA 22030-2404 | 2020-07-06 |
| 1164941845 | Hayley Hammond | Physical Therapist | 9860 Fairfax Blvd Ste 1, Fairfax, VA 22030-1702 | 2017-09-14 |
| 1346781192 | Maria Antonette Aspa | Physical Therapist | 11350 Random Hills Rd, Suite 800, Fairfax, VA 22030-6044 | 2017-03-13 |
| 1376908624 | Set Sports Physical Therapy, LLC | Physical Therapist | 3025 Hamaker Ct Ste 103, Fairfax, VA 22031-2221 | 2015-12-30 |
| 1316313257 | Lauren Simpkins | Physical Therapist | 8501 Arlington Blvd Ste 400, Fairfax, VA 22031-4625 | 2015-08-14 |
| 1548640287 | Gina Decaro | Physical Therapist | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2015-06-08 |
| 1245652627 | Lindsey Rolinski | Physical Therapist | 11240 Waples Mill Rd, #202, Fairfax, VA 22030-6078 | 2014-01-20 |
| 1871716563 | Fairfax Physical Therapy, Incorporated | Physical Therapist | 10525 West Dr, Fairfax, VA 22030-4230 | 2007-04-11 |
| Find all providers in FAIRFAX | ||||
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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.