Provider Demographics
NPI:1609904341
Name:THERAPY 4 KIDS, LLC
Entity Type:Organization
Organization Name:THERAPY 4 KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:703-978-8400
Mailing Address - Street 1:9685 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3752
Mailing Address - Country:US
Mailing Address - Phone:703-978-8400
Mailing Address - Fax:703-978-9898
Practice Address - Street 1:9685 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3752
Practice Address - Country:US
Practice Address - Phone:703-978-8400
Practice Address - Fax:703-978-9898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052023982251P0200X
VA0119002945225XP0200X
VA2202003923235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192066OtherANTHEM BCBS OT
VA192067OtherANTHEM BCBS SPEECH
VA192064OtherANTHEM BCBS PT
VA3429217OtherAETNA PPO
VA7347554OtherAETNA HMO
VA696852OtherUNITED HEALTH CARE
VAG663OtherCARE FIRST BCBS