MR. JEFFREY GEORGE PERRY (NPI# 1578538856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578538856 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY GEORGE PERRY |
| Credential | ATC |
| Practice Address |
5035 Sideburn Rd Robinson Hs Fairfax VA 22032-2637 |
| Mailing Address |
10677 Spring Oak Ct Burke VA 22015-2214 |
| Practice Telephone | 7034266818 |
| Practice Fax Number | 7034262299 |
| Mailing Telephone | 7034266818 |
| Mailing Fax Number | 7034262299 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000166 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740650571 | Jeffrey James Perry | Home Health | 13791 E Rice Pl Ste 105, Aurora, CO 80015-1057 | 2015-10-06 |
| 1750728291 | Jeffrey Wayne Perry | Pharmacist | 5707 Queen Aire Ln, Chattanooga, TN 37415-7024 | 2013-05-23 |
| 1871565341 | Jeffrey N Perry | Family Medicine | 4314 N George Street Ext, Manchester, PA 17345-1307 | 2006-02-07 |
| 1346248689 | Jeffrey Perry | Physical Medicine & Rehabilitation | 303 2nd Ave, Suite 12, New York, NY 10003-2739 | 2005-07-11 |
| 1629214218 | Jeffrey Perry | Technician, Other | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2009-01-02 |
| 1346254489 | Jeffrey L. Perry | Dentist | 5855 W Utopia Rd, Midwestern University Dental Institute, Glendale, AZ 85308-5251 | 2006-07-27 |
| 1265498679 | Jeffrey Francis Perry | Occupational Therapist | 8100 S Walker Ave, Bldg B, Oklahoma City, OK 73139-9402 | 2006-04-25 |
| 1033107255 | Jeffrey Perry | Family Medicine | 1100 Carson Ave, Ste 201, La Junta, CO 81050-2751 | 2005-10-11 |
| Street Address |
5035 SIDEBURN RD ROBINSON HS |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396252771 | Deborah Cassidy | Specialist/Technologist | 5035 Sideburn Rd, Fairfax, VA 22032-2637 | 2018-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752611 | Jennifer Cooke | Specialist/Technologist | 4707 Olley Ln, Fairfax, VA 22032-2133 | 2020-02-12 |
| 1891326963 | Alexis Haden | Specialist/Technologist | 12217 Pender Creek Cir Apt A, Fairfax, VA 22033-3921 | 2020-01-28 |
| 1356988992 | Alyx Bridis | Specialist/Technologist | 4450 Rivanna River Way, Fairfax, VA 22030-4441 | 2019-12-03 |
| 1316580731 | Sarah Mard | Specialist/Technologist | 3306 Edenvale Rd, Fairfax, VA 22031-2714 | 2019-10-18 |
| 1063075588 | Nicole Marie Berube | Specialist/Technologist | 3511 Broadrun Dr, Fairfax, VA 22033-2164 | 2019-04-19 |
| 1275018806 | Ethan Grant | Specialist/Technologist | 11960 Artery Dr, Fairfax, VA 22030-6711 | 2018-09-29 |
| 1588161251 | Rachael Renee Watkins | Specialist/Technologist | 10131 Dwight Ave, Fairfax, VA 22032-1035 | 2018-04-10 |
| 1982134250 | Dena Vandagriff | Specialist/Technologist | 4280 Mazarin Pl Apt 206, Fairfax, VA 22033-5790 | 2017-06-19 |
| 1821538117 | Kelly Fickes | Specialist/Technologist | 4231 Monument Wall Way, Apt 453, Fairfax, VA 22030-8433 | 2017-03-06 |
| 1427592690 | Samantha Raso | Specialist/Technologist | 3332 Lauriston Pl, Fairfax, VA 22031-4800 | 2016-12-07 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.