Provider Demographics
NPI:1457235665
Name:KENESSY, JAVAIRIA RASHID
Entity type:Individual
Prefix:
First Name:JAVAIRIA
Middle Name:RASHID
Last Name:KENESSY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9480 VIRGINIA CENTER BLVD UNIT 131
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-4810
Mailing Address - Country:US
Mailing Address - Phone:202-549-1178
Mailing Address - Fax:
Practice Address - Street 1:3975 UNIVERSITY DR STE 450
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2520
Practice Address - Country:US
Practice Address - Phone:571-587-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty