Healthcare Provider Details

I. General information

NPI: 1811215981
Provider Name (Legal Business Name): PRONTO THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 03/30/2024
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5009 WHISPER WILLOW DR
FAIRFAX VA
22030-8205
US

IV. Provider business mailing address

5009 WHISPER WILLOW DR
FAIRFAX VA
22030-8205
US

V. Phone/Fax

Practice location:
  • Phone: 703-200-8320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateVA
# 6
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MIRLENA SANCHEZ
Title or Position: SPEECH PATHOLOGIST/PRESIDENT
Credential:
Phone: 700-200-8320