WINGS TO FLY THERAPY AND PLAY CENTER (NPI# 1518371657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518371657 |
| Entity Type | Organization |
| Organization Name | WINGS TO FLY THERAPY AND PLAY CENTER |
| Practice Address |
4530 Walney Road Suite 203 Chantilly VA 20151 |
| Practice Telephone | 7034665533 |
| Practice Fax Number | 7034665533 |
| Mailing Telephone | 7034665533 |
| Mailing Fax Number | 7034665533 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DONNA SHANK (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7034665533 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | VA | Speech, Language and Hearing Service Providers | |
| Y | 208000000X | Pediatrics | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4530 WALNEY ROAD SUITE 203 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955014 | Christina Carr | Occupational Therapist | 4530 Walney Road, Suite 203, Chantilly, VA 20151 | 2005-07-08 |
| 1497205371 | Ava Carole Sturgis | Occupational Therapist | 4530 Walney Road, Suite 203, Chantilly, VA 20151 | 2016-10-04 |
| 1063884229 | Kate Allison Hurst | Speech-Language Pathologist | 4530 Walney Road, Suite 203, Chantilly, VA 20151 | 2015-10-28 |
| 1780098822 | Denise Young | Occupational Therapist | 4530 Walney Road, Suite 203, Chantilly, VA 20151 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831329150 | Yu Nina Niu | Pediatrics | 3914 Centerville Rd, Chantilly, VA 20151 | 2009-07-21 |
| 1851405708 | John David Farrell Jr. | Pediatrics | 43063 Peacock Market Plz, Suite 150, Chantilly, VA 20152-4444 | 2006-08-18 |
| 1386661262 | Jodi Robin Natovitz | Pediatrics | 3914 Centreville Rd Ste 225, Chantilly, VA 20151-3045 | 2006-07-16 |
| 1689632028 | Candace Fugate | Pediatrics | 3914 Centreville Rd Ste 101, Chantilly, VA 20151-3289 | 2006-05-03 |
| 1104812700 | Prasad Rekulapelli | Pediatrics | 4229 Lafayette Center Dr, Suite 1425, Chantilly, VA 20151-1261 | 2005-09-20 |
| 1164872370 | Jasmine Kaur Virk | Pediatrics | 14133 Robert Paris Ct, Chantilly, VA 20151-4203 | 2016-06-18 |
| 1003276783 | Loudoun Medical Group PC | Pediatrics | 24805 Pinebrook Rd, Suite 109, Chantilly, VA 20152-4126 | 2016-02-24 |
| 1881715746 | Cristin Louise Wise | Pediatrics | 3914 Centreville Rd Ste 101, Chantilly, VA 20151-3289 | 2007-04-02 |
| 1174637045 | Shannon Elaine Price | Pediatrics | 43063 Peacock Market Plz, Suite 150, Chantilly, VA 20152-4444 | 2006-08-18 |
| 1831203702 | Benjamin Phillip Reynolds | Pediatrics | 43063 Peacock Market Plz, Suite 150, Chantilly, VA 20152-4444 | 2006-08-18 |
| Find all providers in CHANTILLY | ||||
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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.