MEDICARE: ALEXANDRA CATHRYN ABRAVANEL DPT

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	225100000X	Physical Therapist	2305217091	VA

General Provider Information

NPI Number	:	1780567370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA CATHRYN ABRAVANEL DPT

Provider Business Mailing Address
First Line	:	790 STEPHANIE CIR
Second Line	:
City	:	GREAT FALLS
State	:	VA
Zip	:	22066-2838
Country	:	US
Telephone Number	:	703-966-9615
Fax Number	:

Provider Business Practice Location Address
First Line	:	6720A ROCKLEDGE DR STE 500
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1888
Country	:	US
Telephone Number	:	301-530-7303
Fax Number	:

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

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	06/02/2026

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