Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Pediatric Therapy Source, Inc

Organization Pediatric Occupational Therapist · NPI 1629315411

Premier Pediatric Therapy Source, Inc is a Pediatric Occupational Therapist in Arlington, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2776 S Arlington Mill Dr # 534
Arlington, VA 22206-3402
Phone: (703) 879-2479
Fax: (703) 879-2803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 0119005367 (VA)

Record details

NPI number1629315411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Allen — President & Ceo · (703) 879-2479
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJanuary 14, 2013
Mailing address2776 S Arlington Mill Dr # 534, Arlington, VA 22206-3402

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