Provider Demographics
NPI:1114782802
Name:NORTHERN VIRGINIA PHYSICAL THERAPY
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITU
Authorized Official - Middle Name:
Authorized Official - Last Name:VARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-819-7394
Mailing Address - Street 1:2952 BONDS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1778
Mailing Address - Country:US
Mailing Address - Phone:419-819-7394
Mailing Address - Fax:
Practice Address - Street 1:2296 OPITZ BLVD STE 120
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3344
Practice Address - Country:US
Practice Address - Phone:419-819-7394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy