Active NPI
Sheryl Sammarco Moran, P.T.
- Physical Therapist
- Ashburn, VA
National Provider Identifier
1003816455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004982
- Practice address
- 20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393 - Phone
- (703) 723-5225
- NPI assigned
- Jul 28, 2005
- Last updated
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004982 | VA | Primary |
Addresses
Primary practice location
20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393
Mailing address
42762 Evening Breeze CT
Ashburn, VA 20148-3616
Phone (703) 858-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004982 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptab LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Purcellville, VA
- NPI 1033879705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1003816455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42762 EVENING BREEZE CT",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201483616",
"telephone_number": "703-858-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20098 ASHBROOK PL",
"address_2": "SUITE 190",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473393",
"telephone_number": "703-723-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "SHERYL",
"middle_name": "SAMMARCO",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.