=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235609678
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNE VOLMERT DPT, PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2018
-----------------------------------------------------
Last Update Date | 02/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8140 ASHTON AVE STE 104
-----------------------------------------------------
City | MANASSAS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20109-5699
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-257-3333
-----------------------------------------------------
Fax | 703-257-0066
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12701 FAIR LAKES CIR STE 102
-----------------------------------------------------
City | FAIRFAX
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22033-4913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-257-3333
-----------------------------------------------------
Fax | 703-257-0066
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 2305217565
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 63362
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------