Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premier Pediatric Therapy Source, Inc

Organization Pediatric Occupational Therapist · NPI 1629315411

Premier Pediatric Therapy Source, Inc provides Pediatric Occupational Therapist services 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 Not confirmed with CMS for 13 years — call before visiting
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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