NATIONAL SPORTS MEDICINE INSTITUTE (NPI# 1447645551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447645551 |
| Entity Type | Organization |
| Organization Name | NATIONAL SPORTS MEDICINE INSTITUTE |
| Practice Address |
19455 Deerfield Ave Suite 309 Lansdowne VA 20176-8100 |
| Practice Telephone | 7037295010 |
| Practice Fax Number | 7037295833 |
| Mailing Telephone | 7037295010 |
| Mailing Fax Number | 7037295833 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |
| Authorized Official Name | DR. DAVID C JOHNSON (OWNER) |
| Authorized Official Telephone | 7037295010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2306602067 | VA | Ambulatory Health Care Facilities |
| Street Address |
19455 DEERFIELD AVE SUITE 309 |
| City | LANSDOWNE |
| State | VA |
| Zip Code | 20176-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517478 | Scott Michael Sirlin | Pediatrics | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2005-09-01 |
| 1841774601 | Jeylani Gregory Dublin | Physical Medicine & Rehabilitation | 19455 Deerfield Ave, Lansdowne, VA 20176-8100 | 2018-09-18 |
| 1730627860 | Northern Virginia Imaging, LLC | Specialist | 19455 Deerfield Ave, Sutie 102, Lansdowne, VA 20176-8100 | 2017-02-09 |
| 1255886289 | Brittany Starr | Specialist/Technologist | 19455 Deerfield Ave, 312, Lansdowne, VA 20176-8100 | 2016-08-19 |
| 1902281082 | Jeffrey Chase Farnsworth | Physical Therapist | 19455 Deerfield Ave, Suite 309, Lansdowne, VA 20176-8100 | 2015-07-30 |
| 1073994620 | Megan Bureau | Physical Therapist | 19455 Deerfield Ave, Ste 309, Lansdowne, VA 20176-8100 | 2015-06-09 |
| 1083008338 | Doctors Choice Home Care Inc | Home Health | 19455 Deerfield Ave, Suite 208, Lansdowne, VA 20176-8100 | 2015-03-25 |
| 1891116059 | Allergy Asthma & Immunology Institute | Allergy & Immunology | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2013-12-13 |
| 1972844918 | Zahra C Ismaeli | Specialist/Technologist | 19455 Deerfield Ave, Suite 312, Lansdowne, VA 20176-8100 | 2013-03-14 |
| 1780942755 | Sofia Nabizadeh | Physician Assistant | 19455 Deerfield Ave, Suite 311, Lansdowne, VA 20176-8100 | 2012-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491755 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 20-30 West Baltimore Pike, Lansdowne, PA 19050 | 2005-07-21 |
| 1689983298 | Nova Rehabilitation Inc | Clinic/Center | 19490 Sandridge Way, Suite 170, Lansdowne, VA 20176-3465 | 2010-09-29 |
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|---|---|---|---|---|
| 1871194332 | The Royalty Treatment LLC | Clinic/Center | 14413 Huntgate Woods Rd, Midlothian, VA 23112-4362 | 2020-11-02 |
| 1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
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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.