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PROGRESSIVE PEDIATRIC THERAPY NPI 1336622257


NPI Information

NPI: 1336622257
Provider Name: PROGRESSIVE PEDIATRIC THERAPY
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
150 S. WASHINGTON ST.
#203
FALLS CHURCH, VA
ZIP 22124
Phone: (703) 606-6213
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PROGRESSIVE PEDIATRIC THERAPY is a pediatrics physical therapist in Falls Church, VA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PROGRESSIVE PEDIATRIC THERAPY NPI is 1336622257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 S. WASHINGTON ST.
#203
FALLS CHURCH, VA
ZIP 22124
Phone: (703) 606-6213
Fax: (703) 496-4779

The provider's authorized official is Jill Karen Wagner .
The authorized official title is Owner, Physical Therapist and has the following contact phone number (703) 606-6213.

The enumeration date for this NPI number is 9/7/2018 and was last updated on 9/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics0105005106VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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