Provider Demographics
NPI:1376694265
Name:GILBERT, BRITTA KAY (DPT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:BRITTA
Middle Name:KAY
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:MS
Other - First Name:BRITTA
Other - Middle Name:KAY
Other - Last Name:SCHUMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT,OCS
Mailing Address - Street 1:5719 CENTRE SQUARE DR.
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120
Mailing Address - Country:US
Mailing Address - Phone:703-878-8804
Mailing Address - Fax:703-818-2498
Practice Address - Street 1:10373 DEMOCRACY LN STE A
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2588
Practice Address - Country:US
Practice Address - Phone:703-385-2855
Practice Address - Fax:703-691-3127
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA016437R81Medicare PIN
DC140706ZB76Medicare PIN