MEDICARE: DAVID SAHLEY MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	2305202401	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	393210	OTHER	VI	MAMSI
2	K1070001	OTHER	VI	BCBS CAREFIRST
3	7416695	OTHER	VI	AETNA
4	193989	OTHER	VI	ANTHEM BCBS

General Provider Information

NPI Number	:	1295730752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SAHLEY MSPT

Provider Business Mailing Address
First Line	:	4133 FAIRFAX CENTER CREEK DR
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-8522
Country	:	US
Telephone Number	:	703-754-0394
Fax Number	:	703-754-0254

Provider Business Practice Location Address
First Line	:	7210 HERITAGE VILLAGE PLZ
Second Line	:	101
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3071
Country	:	US
Telephone Number	:	703-754-0394
Fax Number	:	703-754-0254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	04/28/2008

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Directions to “ DAVID SAHLEY MSPT” Practice Location

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