Provider Demographics
NPI:1013004738
Name:NOVA PHYSICAL THERAPY SERVICES
Entity Type:Organization
Organization Name:NOVA PHYSICAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-208-3200
Mailing Address - Street 1:2841 HARTLAND RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:703-208-3590
Practice Address - Street 1:2841 HARTLAND RD
Practice Address - Street 2:SUITE 403
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-3500
Practice Address - Country:US
Practice Address - Phone:703-208-3200
Practice Address - Fax:703-208-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01605Medicare PIN