JONATHAN EVAN COLLINSWORTH (NPI# 1720366263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720366263 |
| Entity Type | Individual |
| Full Name | JONATHAN EVAN COLLINSWORTH |
| Credential | CMT |
| Practice Address |
7060 Columbia Pike Annandale VA 22003-3104 |
| Practice Telephone | 7039168782 |
| Mailing Telephone | 7039168782 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019009890 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7060 COLUMBIA PIKE |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459953 | Neoporte Dialysis LLC | Clinic/Center | 7060 Columbia Pike, Annandale, VA 22003-3104 | 2017-07-14 |
| 1780964791 | Foundation Fitness of Annandale | Massage Therapist | 7060 Columbia Pike, Annandale, VA 22003-3104 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008310 | Jaclyn Olivia Boyce | Massage Therapist | 4706 Commons Dr Apt 204, Annandale, VA 22003-5093 | 2020-09-21 |
| 1649802950 | Pilhoon Oh | Massage Therapist | 7004 Little River Tpke Ste B, Annandale, VA 22003-3201 | 2020-02-05 |
| 1922420264 | Kwangsung Kim | Massage Therapist | 7127 Little River Tpke Ste C, Annandale, VA 22003-3314 | 2014-01-06 |
| 1780908269 | Yoon Ja Kim | Massage Therapist | 7310 Mcwhorter Pl Ste D, Annandale, VA 22003-5600 | 2010-03-26 |
| 1760014948 | Heesook Kim | Massage Therapist | 7004 Little River Tpke Ste B, Annandale, VA 22003-3201 | 2020-02-06 |
| 1164060026 | Aom Clinic LLC | Massage Therapist | 7535 Little River Tpke Ste 103a, Annandale, VA 22003-2983 | 2019-12-11 |
| 1710478292 | Michelle Yeun | Massage Therapist | 4231 Markham St Ste 224, Annandale, VA 22003-3023 | 2018-05-21 |
| 1922450410 | Jung Sook Han | Massage Therapist | 7700 Little River Tpke, Suite 100a-1, Annandale, VA 22003-2406 | 2016-07-07 |
| 1790157410 | Heather Fox | Massage Therapist | 5105a Backlick Rd, Annandale, VA 22003-6005 | 2015-10-21 |
| 1780964791 | Foundation Fitness of Annandale | Massage Therapist | 7060 Columbia Pike, Annandale, VA 22003-3104 | 2011-08-22 |
| Find all providers in ANNANDALE | ||||
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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.