Healthcare Provider Details

I. General information

NPI: 1770862070
Provider Name (Legal Business Name): KARLA KRASNOSELSKY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 07/21/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER 9300 DEWITT LOOP
FT. BELVOIR VA
22060-5285
US

IV. Provider business mailing address

9300 DEWITT LP PHYSICAL THERAPY DEPARTMENT
FT. BELVOIR VA
22060
US

V. Phone/Fax

Practice location:
  • Phone: 571-231-2198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number6556
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number06556
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: