Individual provider · Type 1 NPI

Heidi Pena-Moog, LPTA

Physical Therapy Assistant · Fairfax, VA

NPI number 1083187447 Active

Practice location

9229 Arlington Blvd
Fairfax, VA 22031-2550

Call (703) 277-6611 Map

Fax (703) 383-0206

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306001382 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083187447

Heidi Pena-Moog, LPTA's National Provider Identifier is 1083187447, issued on Jan 9, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fairfax, VA. The record was last updated on Jan 9, 2019.