Provider Demographics
NPI:1700010527
Name:ALEXANDRIA PHYSICAL THERAPY LLC,
Entity Type:Organization
Organization Name:ALEXANDRIA PHYSICAL THERAPY LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELSHIEKH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-231-8577
Mailing Address - Street 1:4301 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2520
Mailing Address - Country:US
Mailing Address - Phone:703-231-8577
Mailing Address - Fax:703-799-9548
Practice Address - Street 1:4301 LAUREL RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2520
Practice Address - Country:US
Practice Address - Phone:703-231-8577
Practice Address - Fax:703-799-9548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203950261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy