NPI Code Detail JSON Logo

1962268789 NPI number — ALISON IZZO DPT

NPI Number: 1962268789
Health Care Provider/Practitioner: ALISON IZZO DPT

Information about “1962268789” NPI (ALISON IZZO DPT) exists in 1962268789 in HTML format HTML  |  1962268789 in plain Text format TXT  |  1962268789 in PDF (Portable Document Format) PDF  |  1962268789 in an XML format XML  formats.

NPI Number : 1962268789 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962268789",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IZZO",
    "FirstName": "ALISON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CUNIFFE",
    "OtherFirstName": "ALISON",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "455 S MAPLE AVE APT 408",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FALLS CHURCH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22046-4278",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-841-9932",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10461 WHITE GRANITE DR STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22124-2762",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-559-6823",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2024",
    "LastUpdateDate": "08/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "2305216300",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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