Provider Demographics
NPI:1841748365
Name:MCKAY, JAMES (DPT)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:MCKAY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-4504
Mailing Address - Country:US
Mailing Address - Phone:845-313-1911
Mailing Address - Fax:
Practice Address - Street 1:2850 EISENHOWER AVE
Practice Address - Street 2:STE P2
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4565
Practice Address - Country:US
Practice Address - Phone:703-329-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist