Provider Demographics
NPI:1992035463
Name:KANANI, URVI NITINKUMAR (MPT)
Entity Type:Individual
Prefix:
First Name:URVI
Middle Name:NITINKUMAR
Last Name:KANANI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 SEMINARY RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3901
Mailing Address - Country:US
Mailing Address - Phone:301-725-8790
Mailing Address - Fax:
Practice Address - Street 1:5501 SEMINARY RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3901
Practice Address - Country:US
Practice Address - Phone:301-725-8790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206309225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist