OrganizationActive
Premier Pediatric Therapy Source, Inc.
NPI 1629315411 · Pediatric Occupational Therapist · Arlington, VA
Provider details
- NPI number
- 1629315411
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Debbie Allen, President & Ceo(703) 879-2479
- License
- 0119005367 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2776 S Arlington Mill Dr # 534
Arlington, VA 22206-3402
Phone: (703) 879-2479
Fax: (703) 879-2803
Street-level locationGet directions
Mailing address
2776 S Arlington Mill Dr # 534
Arlington, VA 22206-3402
Registry dates
- Enumerated
- 2013-01-14
- Last updated
- 2013-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.