LEESBURG SPORTS, INC. (NPI# 1023033354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023033354 |
| Entity Type | Organization |
| Organization Name | LEESBURG SPORTS, INC. |
| Other Organization Name | LEESBURG PHYSICAL THERAPY |
| Practice Address |
17340 Pickwick Dr Suite 120 Purcellville VA 20132-6181 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5403380685 |
| Practice Fax Number | 5403380687 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Leesburg Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245255512 | Leesburg Sports, Inc. | Clinic/Center | 540 Fort Evans Rd, Suite 206, Leesburg, VA 20176 | 2006-07-13 |
| 1174548473 | Leesburg Sports, Inc. | Clinic/Center | 19500 Sandridge Way, Suite 390, Riverside Office Park, Lansdowne, VA 20176-3688 | 2006-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LEESBURG SPORTS, INC. | 28 Liberty St., New York, Ny 10005 |
| Street Address |
17340 PICKWICK DR SUITE 120 |
| City | PURCELLVILLE |
| State | VA |
| Zip Code | 20132-6181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821461385 | Gregory W Geldart Dmd Plc | Dentist | 17340 Pickwick Dr, Suite 100, Purcellville, VA 20132-6181 | 2015-11-05 |
| 1831460252 | Martha Sharp | Dentist | 17340 Pickwick Dr, Suite 100, Purcellville, VA 20132-6181 | 2012-01-17 |
| 1629382569 | Kimberly Kenna Rodriguez | Physical Therapist | 17340 Pickwick Dr, Purcellville, VA 20132-6181 | 2010-08-03 |
| 1215150065 | Gregory W Geldart Dmd, Plc | Dentist | 17340 Pickwick Dr, Suite 100, Purcellville, VA 20132-6181 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1760828297 | Purcellville Pediatric Dentistry | Dentist | 17333 Pickwick Dr, Purcellville, VA 20132 | 2013-05-10 |
| 1992945703 | Loudoun Medical Group PC | Internal Medicine | 205 E Hirst Road, Suite 304, Purcellville, VA 20132 | 2009-03-06 |
| 1821242587 | Alice Elizabeth Fields | Psychiatry & Neurology | 17340 Pickwick Dr Ste 130, Purcellville, VA 20132 | 2008-11-07 |
| 1194867036 | Loudoun Family & Relationship Counseling | Social Worker | 215 Loudoun St, Leesburg, VA 20132 | 2007-02-13 |
| 1083785547 | Jacqueline R Fleming | Social Worker | 170 W Main Street, 201, Purcellville, VA 20132 | 2006-11-13 |
| 1023197688 | Carol E Harkrader | Psychiatry & Neurology | 170 West Main St, 204, Purcellville, VA 20132 | 2006-11-03 |
| 1083702112 | John Robert Mcwilliams Jr. | Chiropractor | 101 F South Maple Avenue, Purcellville, VA 20132 | 2006-10-11 |
| 1023106408 | Glenna B. Winnie | Pediatrics | 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 | 2006-10-10 |
| 1548352826 | Peter M Daddio | Chiropractor | 17337b Pickwick Dr, Purcellville, VA 20132 | 2006-09-28 |
| Find all providers in zip 20132 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
| 1710517966 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 8986 Lorton Station Blvd Ste 202, Lorton, VA 22079-4755 | 2020-01-16 |
| 1710527841 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 4017 College Ave, Bluefield, VA 24605-2043 | 2020-01-07 |
| 1497391148 | T2 Fitness | Clinic/Center | 928 Diamond Springs Rd Ste 111, Virginia Beach, VA 23455-6601 | 2019-11-18 |
| 1285285031 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 209 Roanoke St Ste 1, Christiansburg, VA 24073-3035 | 2019-09-24 |
| 1184281321 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 7508 Iron Bar Ln Ste 7508, Gainesville, VA 20155-2999 | 2019-05-23 |
| 1427522846 | Dmr Team, LLC | Clinic/Center | 10637 Shannon Hill Rd, Louisa, VA 23093-6352 | 2019-01-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
| Find all providers with the same taxonomy | ||||
| City | PURCELLVILLE |
| Zip Code | 20132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.