Healthcare Provider Details

I. General information

NPI: 1750666277
Provider Name (Legal Business Name): SUSAN BARRET HARVEY P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2011
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 COLUMBIA PIKE STE 104
FALLS CHURCH VA
22041-2038
US

IV. Provider business mailing address

5860 COLUMBIA PIKE STE 104
FALLS CHURCH VA
22041-2038
US

V. Phone/Fax

Practice location:
  • Phone: 571-461-5040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT25706
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0019142
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217254
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: