Provider Demographics
NPI:1386287746
Name:HEIN, PHYO NYI NYI
Entity type:Individual
Prefix:MR
First Name:PHYO
Middle Name:NYI NYI
Last Name:HEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:PHYO
Other - Middle Name:NYI NYI
Other - Last Name:HEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ERIC HEIN
Mailing Address - Street 1:101 S WHITING ST APT 814
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3409
Mailing Address - Country:US
Mailing Address - Phone:718-419-6935
Mailing Address - Fax:
Practice Address - Street 1:10701 MAIN ST APT 814
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6904
Practice Address - Country:US
Practice Address - Phone:718-419-6935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306604494225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant