Ace Physical Therapy & Sports Medicine Institute, LLC
Organization Active NPI Physical Therapist · Great Falls, VA
NPI 1003368663 · NPPES record last updated Oct 31, 2016
Key facts
- NPI
- 1003368663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC
- Practice address
- 10123 Colvin Run Rd
Great Falls, VA 22066-1873 - Phone
- (703) 205-1233
- NPI assigned
- Oct 31, 2016
- Organization subpart
- No
Authorized official
- Name
- Michael Ercole, MSPT
- Title
- Institute Director
- Phone
- (703) 205-1233
Other NPIs on the same Medicare enrollment 6
Practitioners 1
-
Akanksha Sood, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070301000072 | DC | Part B Supplier - Clinic/Group Practice | 3173625787 |
Receives reassigned benefits from 12 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Herndon, VA; Vienna, VA; Falls Church, VA; Arlington, VA; Alexandria, VA; Fairfax, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | VA | Yes |
Addresses
Primary practice location
10123 Colvin Run Rd
Great Falls, VA 22066-1873
Mailing address
2841 Hartland Rd Ste 401B
Falls Church, VA 22043-3500
Phone (703) 205-1233
Other providers in Great Falls, VA
- Ace Medical Care LLC
- Ackerman and Associates of Great Falls
- Hamidreza Adab
- Advance Medical and Professional Solutions LLC
- Amir Arsalan Afkhami
- Afterband LLC
All providers in Great Falls, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.