RESTORE PT & WELLNESS (NPI# 1568700763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568700763 |
Entity Type | Organization |
Organization Name | RESTORE PT & WELLNESS |
Practice Address |
44927 George Washington Blvd Suite 210 Ashburn VA 20147-4295 |
Practice Telephone | 5712919936 |
Practice Fax Number | 5719184935 |
Enumeration Date | 2013-01-22 |
Last Update Date | 2013-09-11 |
Authorized Official Name | MS. KIMBERLY A HORTON (OWNER) |
Authorized Official Telephone | 7034028536 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305203754 | VA | Ambulatory Health Care Facilities |
Street Address |
44927 GEORGE WASHINGTON BLVD SUITE 210 |
City | ASHBURN |
State | VA |
Zip Code | 20147-4295 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033265087 | Kimberly A. Horton | Physical Therapist | 44927 George Washington Blvd, Suite 210, Ashburn, VA 20147-4295 | 2007-01-25 |
1033731203 | Melissa Jane Griffin | Behavioral Analyst | 44927 George Washington Blvd, Ashburn, VA 20147-4295 | 2020-05-11 |
1255805370 | Candace Ashworth | Behavior Technician | 44927 George Washington Blvd, Ashburn, VA 20147-4295 | 2019-01-11 |
1629541396 | Kaylee Chulla | Behavioral Analyst | 44927 George Washington Blvd, Ashburn, VA 20147-4295 | 2019-01-05 |
1215394556 | Moxie G2 Inc | Home Health | 44927 George Washington Blvd, Suite 145, Ashburn, VA 20147-4295 | 2016-01-18 |
1679908859 | Suzanne Cruz | Behavioral Analyst | 44927 George Washington Blvd, Ashburn, VA 20147-4295 | 2013-09-06 |
1487987871 | Amelia Indira Franklin | Physical Therapist | 44927 George Washington Blvd, Suite 210, Ashburn, VA 20147-4295 | 2009-09-16 |
1124270616 | Lauren Beth Starace | Physical Therapist | 44927 George Washington Blvd, #210, Ashburn, VA 20147-4295 | 2008-10-16 |
1770761264 | Eve A Gandolfo | Physical Therapist | 44927 George Washington Blvd, Ashburn, VA 20147-4295 | 2008-02-06 |
1366633208 | Elizabeth Susan Scudder | Physical Therapist | 44927 George Washington Blvd, Ste. 210, Ashburn, VA 20147-4295 | 2007-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
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Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346731692 | Scudder Physical Therapy, Pllc | Clinic/Center | 43745 Castle Pines Ter, Ashburn, VA 20147-4144 | 2018-05-22 |
1619389657 | Missing Link Physical Therapy | Clinic/Center | 44933 George Washington Blvd, Suite 165, Ashburn, VA 20147-6300 | 2014-05-26 |
1750792404 | Northern Virginia Hand Therapy Center | Clinic/Center | 20925 Professional Plaza, Suite 300, Ashburn, VA 20147 | 2014-05-15 |
1245666866 | Center for Advanced Physical Therapy and Sports Medicine, LLC | Clinic/Center | 21785 Filigree Ct, Suite 102, Ashburn, VA 20147-6213 | 2013-09-16 |
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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.