MEDICARE: KARI A DIXON MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305202877	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7298	OTHER	VA	CAREFIRST BCBS

General Provider Information

NPI Number	:	1659376127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI A DIXON MSPT

Provider Business Mailing Address
First Line	:	8346 TRAFORD LN
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1600
Country	:	US
Telephone Number	:	703-913-5705
Fax Number	:	703-263-2015

Provider Business Practice Location Address
First Line	:	8346 TRAFORD LN
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1600
Country	:	US
Telephone Number	:	703-913-5705
Fax Number	:	703-263-2015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/08/2007

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Directions to “ KARI A DIXON MSPT” Practice Location

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