KYLE CHACKO THOMAS OTR/L
NPI 1225643067
Occupational Therapist - Hand in Fairfax, VA
Active since September 09, 2020
About Kyle Chacko Thomas Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE CHACKO THOMAS OTR/L (NPI 1225643067) is an individual hand provider in Fairfax, Virginia, licensed in Virginia (0119008753) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1225643067
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameKYLE CHACKO THOMASCredential: OTR/L
Location Address10560 MAIN ST STE 417Fairfax, VA 22030-7174
Mailing Address42090 Barrymoore PlChantilly, VA 20152-6438 · (443) 986-4300
Phone(703) 717-5667
Sole ProprietorYes
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1225643067 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in VA · 0119008753
10560 MAIN ST STE 417, Fairfax, VA 22030
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225643067, enumerated as an "individual" on September 09, 2020.
The provider is located at 10560 MAIN ST STE 417 FAIRFAX, VA 22030 and the phone number is (703) 717-5667.
Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.
