Provider Demographics
NPI:1801941356
Name:DANSEY, JILL (PT)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:DANSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13775 HENRY POND CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-2351
Mailing Address - Country:US
Mailing Address - Phone:703-802-1212
Mailing Address - Fax:
Practice Address - Street 1:100 CARPENTER DR
Practice Address - Street 2:SUITE 140
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-7114
Practice Address - Country:US
Practice Address - Phone:703-707-9060
Practice Address - Fax:703-707-9022
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052033842251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics