Provider Demographics
NPI:1215967930
Name:TO-ALEMANJI, JESSICA KIM (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:KIM
Last Name:TO-ALEMANJI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8373 HUNTER MURPHY CIR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-3643
Mailing Address - Country:US
Mailing Address - Phone:703-639-0950
Mailing Address - Fax:703-663-8730
Practice Address - Street 1:7617 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE LOWER LEVEL 110
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2603
Practice Address - Country:US
Practice Address - Phone:703-639-0950
Practice Address - Fax:703-663-8730
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052032862251N0400X, 2251X0800X, 2251S0007X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics