Basic Information
| Provider Information | |||||||||
| NPI: | 1326716739 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FINELLI | ||||||||
| FirstName: | NICHOLAS | ||||||||
| MiddleName: | ROBERT | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 850 N RANDOLPH ST APT 1407 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222034019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7578185404 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2021 K ST NW STE 750 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200061023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022931853 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2021 | ||||||||
| LastUpdateDate: | 09/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305214680 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.