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

Individual provider Physical Therapist · NPI 1356042634

Jewels Alyssa Tavera, DPT is a Physical Therapist in Fairfax, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in California and Virginia.

Licensed in
CA, VA
In the registry since
2023
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8550 Lee Hwy Ste 450
Fairfax, VA 22031-1519
Phone: (703) 208-1002
Fax: (703) 208-1127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8140 Ashton Ave Ste 104, Manassas, VA 20109-5699 — (703) 257-3333

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305215610 (VA)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 303708 (CA)

Record details

NPI number1356042634
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 14, 2023
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

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