Provider Demographics
NPI:1003925090
Name:STEP BY STEP PEDIATRIC THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:STEP BY STEP PEDIATRIC THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-222-2421
Mailing Address - Street 1:14527 PICKET OAKS RD
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2358
Mailing Address - Country:US
Mailing Address - Phone:703-222-2421
Mailing Address - Fax:703-222-2421
Practice Address - Street 1:14527 PICKET OAKS RD
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2358
Practice Address - Country:US
Practice Address - Phone:703-222-2421
Practice Address - Fax:703-222-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002352225100000X
VA23050034152251P0200X
VA23050060662251P0200X
VA23050062822251P0200X
VA0119001613225XP0200X
VA0119000749225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty