Healthcare Provider Details

I. General information

NPI: 1417886060
Provider Name (Legal Business Name): ALAINA HEIEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S MAPLE AVE STE 100
FALLS CHURCH VA
22046-4246
US

IV. Provider business mailing address

408 HIGUERA ST STE 200
SAN LUIS OBISPO CA
93401-6135
US

V. Phone/Fax

Practice location:
  • Phone: 703-988-6010
  • Fax: 703-526-0430
Mailing address:
  • Phone: 805-788-0805
  • Fax: 805-788-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217717
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: