Healthcare Provider Details

I. General information

NPI: 1255886289
Provider Name (Legal Business Name): BRITTANY STARR ATC, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY LARAMIE ATC

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47209 MIDDLE BLUFF PL
STERLING VA
20165-3127
US

IV. Provider business mailing address

47209 MIDDLE BLUFF PL
STERLING VA
20165-3127
US

V. Phone/Fax

Practice location:
  • Phone: 571-331-3243
  • Fax:
Mailing address:
  • Phone: 571-331-3243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110011628
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number0126001339
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: