SUSAN TAVAKOLI
NPI 1134760564
Specialist/Technologist - Athletic Trainer in Fairfax, VA

Active since October 07, 2019
3046 MISSION SQUARE DR, FAIRFAX, VA 22031(757) 334-4514 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Tavakoli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN TAVAKOLI (NPI 1134760564) is an individual athletic trainer provider in Fairfax, Virginia and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1134760564
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSUSAN TAVAKOLI
Location Address3046 MISSION SQUARE DRFairfax, VA 22031-1113
Mailing Address3046 Mission Square DrFairfax, VA 22031-1113 · (757) 334-4514
Sole ProprietorNo
Enumeration DateOctober 7, 2019
NPI 1134760564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedPharmacistTaxonomy 183500000X · License 0202216060 (VA)
3046 MISSION SQUARE DR, Fairfax, VA 22031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Tavakoli's NPI number?

The NPI number for Susan Tavakoli is 1134760564. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Susan Tavakoli located?

Susan Tavakoli practices at 3046 Mission Square Dr, Fairfax, VA 22031. The listed phone number is (757) 334-4514.

What is Susan Tavakoli's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Susan Tavakoli was last updated on October 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.