Provider Demographics
NPI:1932235546
Name:ARORA, KAVITA (PHD, MS PT MS OTR/)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:
Last Name:ARORA
Suffix:
Gender:F
Credentials:PHD, MS PT MS OTR/
Other - Prefix:DR
Other - First Name:KAVITA
Other - Middle Name:
Other - Last Name:BEDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MS PT MS OTR/
Mailing Address - Street 1:4528 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-0141
Mailing Address - Country:US
Mailing Address - Phone:540-424-6767
Mailing Address - Fax:703-563-7306
Practice Address - Street 1:4528 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-0141
Practice Address - Country:US
Practice Address - Phone:540-841-4443
Practice Address - Fax:703-563-7306
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001527103K00000X
VA2305205283225100000X
VA0119004795225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1932235546Medicaid