THERAPY 4 KIDS, LLC (NPI# 1609904341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609904341 |
| Entity Type | Organization |
| Organization Name | THERAPY 4 KIDS, LLC |
| Practice Address |
9685 Main St Ste B Fairfax VA 22031-3752 |
| Practice Telephone | 7039788400 |
| Practice Fax Number | 7039789898 |
| Mailing Telephone | 7039788400 |
| Mailing Fax Number | 7039789898 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-10-13 |
| Authorized Official Name | MRS. LORNA SHER (VICE PRESIDENT) |
| Authorized Official Telephone | 7039788400 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
0119002945 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2202003923 | VA | Speech, Language and Hearing Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2305202398 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS OT | 192066 | 01 |
| VA | UNITED HEALTH CARE | 696852 | 01 |
| VA | ANTHEM BCBS PT | 192064 | 01 |
| VA | CARE FIRST BCBS | G663 | 01 |
| VA | AETNA PPO | 3429217 | 01 |
| VA | AETNA HMO | 7347554 | 01 |
| VA | ANTHEM BCBS SPEECH | 192067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780849364 | Therapy 4 Kids, LLC | Rehabilitation Practitioner | 92 South Broadview, Greenbrier, AR 72058 | 2008-07-23 |
| Street Address |
9685 MAIN ST STE B |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225288723 | Carol Lorraine Wesley | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-09-22 |
| 1437305067 | Jennifer Donato | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-08-14 |
| 1124299409 | Jeanne Kane | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-03-14 |
| 1144413188 | Pooja Aggarwal | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-08-23 |
| 1972796910 | Kristin Bentivogli Goodman | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-08-23 |
| 1780716993 | Jeri Labov | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1609908847 | Cara Kiernan | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1003948258 | Alice Blair | Occupational Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1487786687 | Amanda Sarafian | Occupational Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1619009834 | Jana Kammerer | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494629 | Christina Hr Allard | Physical Therapist | 34 Dewey Rd, Fairfax, VT 05454-9612 | 2006-08-12 |
| 1265907455 | Allison Nicole Kenney | Physical Therapist | 10805 Main St Ste 100, Fairfax, VA 22030-4729 | 2018-10-04 |
| 1063992980 | Jessica Barczi Zorn | Physical Therapist | 11350 Random Hills Rd Ste 885, Fairfax, VA 22030-6044 | 2018-08-20 |
| 1902141724 | Rachel Ratke | Physical Therapist | 8270 Willow Oaks Corporate Dr Ste 2120, Fairfax, VA 22031-4511 | 2012-12-05 |
| 1366747891 | Sheryl Kathleen Goncalves | Physical Therapist | 11240 Waples Mill Rd, Suite 101, Fairfax, VA 22030-6078 | 2011-01-13 |
| 1437305067 | Jennifer Donato | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-08-14 |
| 1972796910 | Kristin Bentivogli Goodman | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-08-23 |
| 1609908847 | Cara Kiernan | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1225167257 | Tracy Shiplett | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-05 |
| 1558382697 | Bonnie Kandel | Physical Therapist | 3750 Old Lee Hwy, Fairfax, VA 22030-1806 | 2006-07-22 |
| 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.