Provider Demographics
NPI:1083660914
Name:VOLIKAS, SIMONE TRINTIS (MPT)
Entity Type:Individual
Prefix:MRS
First Name:SIMONE
Middle Name:TRINTIS
Last Name:VOLIKAS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 9TH ST N
Mailing Address - Street 2:CONDO 504W
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1931
Mailing Address - Country:US
Mailing Address - Phone:703-527-8565
Mailing Address - Fax:301-897-2148
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:SUITE NUMBER 301
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1809
Practice Address - Country:US
Practice Address - Phone:301-897-0357
Practice Address - Fax:301-897-2148
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19915225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01783Medicare ID - Type Unspecified