MISSING LINK PHYSICAL THERAPY (NPI# 1619389657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619389657 |
| Entity Type | Organization |
| Organization Name | MISSING LINK PHYSICAL THERAPY |
| Practice Address |
44933 George Washington Blvd Suite 165 Ashburn VA 20147-6300 |
| Practice Telephone | 7038585070 |
| Practice Fax Number | 7038585904 |
| Mailing Telephone | 7038585070 |
| Mailing Fax Number | 7038585904 |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | MR. ANDRE HELETSI (OWNER/ PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7038585070 |
| Authorized Official Credential | DPT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305204989 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | INDIVIDUAL NPI NUMBER | 1780898023 | 01 |
| Street Address |
44933 GEORGE WASHINGTON BLVD SUITE 165 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780898023 | Andre B Heletsi | Orthotic Fitter | 44933 George Washington Blvd, Suite 165, Ashburn, VA 20147-6300 | 2007-05-09 |
| 1376141739 | Dheepthi Ravikumar | Behavior Technician | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-10-16 |
| 1649880980 | Monica Orta | Behavior Technician | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-08-02 |
| 1902429319 | Tracy N Gilbert | Technician, Other | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-05-20 |
| 1720601131 | Cierra Brent | Technician | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-05-20 |
| 1952924441 | Morgan Wasserman | Behavior Technician | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-05-19 |
| 1992327589 | Micaela Caron | Behavior Technician | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-05-18 |
| 1437771342 | Sadie Louise Jenkins | Behavior Technician | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-05-13 |
| 1295355097 | Leslie Michele Ricci | Behavioral Analyst | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2020-04-21 |
| 1710441126 | Brett Michael Wigley | Behavioral Analyst | 44933 George Washington Blvd, Ashburn, VA 20147-6300 | 2019-01-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 20147 | ||||
| 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 |
| 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 |
| 1568700763 | Restore Pt & Wellness | Clinic/Center | 44927 George Washington Blvd, Suite 210, Ashburn, VA 20147-4295 | 2013-01-22 |
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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.