Basic Information
Provider Information
NPI: 1104414572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GETT
FirstName: ALEX
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PHYSICAL THERAPIST
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 741 FRONT ROYAL PIKE APT 204
Address2:  
City: WINCHESTER
State: VA
PostalCode: 226027346
CountryCode: US
TelephoneNumber: 8145912224
FaxNumber:  
Practice Location
Address1: 9030 STATE ROUTE 108 STE B
Address2:  
City: COLUMBIA
State: MD
PostalCode: 210451990
CountryCode: US
TelephoneNumber: 4109893833
FaxNumber: 4438425766
Other Information
ProviderEnumerationDate: 01/01/2021
LastUpdateDate: 04/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225200000X28374MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant 
225100000X2305214106VAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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