Active NPI
Ace Physical Therapy & Sports Medicine Institute, LLC
- Physical Therapist
- Great Falls, VA
National Provider Identifier
1003368663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Last updated
- Oct 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Ercole, MSPT
- Title
- Institute Director
- Phone
- (703) 205-1233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | VA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Arlington, VA
- NPI 1215351242
O20070301000072
-
- Physical Therapy Clinic/Center
- Alexandria, VA
- NPI 1609125939
O20070301000072
-
- Physical Therapist
- Vienna, VA
- NPI 1689952640
O20070301000072
-
- Physical Therapy Clinic/Center
- Fairfax, VA
- NPI 1780933028
O20070301000072
-
- Physical Therapist
- Herndon, VA
- NPI 1821033564
O20070301000072
-
- Physical Therapy Clinic/Center
- Falls Church, VA
- NPI 1861591281
O20070301000072
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Falls Church, VA
- NPI 1609332964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477872000000",
"number": "1003368663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 HARTLAND RD STE 401B",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220433500",
"telephone_number": "703-205-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 COLVIN RUN RD",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220661873",
"telephone_number": "703-205-1233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-31",
"last_updated": "2016-10-31",
"status": "A",
"authorized_official_last_name": "ERCOLE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "INSTITUTE DIRECTOR",
"authorized_official_telephone_number": "703-205-1233",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.