1174647499 NPI number — MRS. PAULA D LEVINSON PT, OCS, CLT-LANA

Table of content: MRS. PAULA D LEVINSON PT, OCS, CLT-LANA (NPI 1174647499)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174647499 NPI number — MRS. PAULA D LEVINSON PT, OCS, CLT-LANA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEVINSON
Provider First Name:
PAULA
Provider Middle Name:
D
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT, OCS, CLT-LANA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174647499
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6337 BROCKETTS XING
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22315-3552
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-922-6965
Provider Business Mailing Address Fax Number:
703-922-6965

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4141 N HENDERSON RD
Provider Second Line Business Practice Location Address:
HAND-N-HAND THERAPY PLAZA 8
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22203-2486
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-527-8446
Provider Business Practice Location Address Fax Number:
703-527-1752
Provider Enumeration Date:
03/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2305002393 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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