MEDICARE: SYDNEY RECTOR

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	225XP0019X	Physical Rehabilitation Occupational Therapist	0119010874	VA

General Provider Information

NPI Number	:	1891670162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY RECTOR

Provider Business Mailing Address
First Line	:	403 SKYHILL RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4919
Country	:	US
Telephone Number	:	317-364-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	9207 ARLINGTON BLVD
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2551
Country	:	US
Telephone Number	:	703-691-0046
Fax Number	:

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

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/07/2025

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Directions to “ SYDNEY RECTOR ” Practice Location

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