Active NPI
Jennifer R Carter, DPT
- Physical Therapist
- Gainesville, VA
National Provider Identifier
1003967175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204890
- Practice address
- 7521 Virginia Oaks Dr
Suite 204
Gainesville, VA 20155-3831 - Phone
- (703) 753-7600
- Fax
- (703) 753-8070
- NPI assigned
- Jan 16, 2007
- 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 | 2305204890 | VA | Primary |
Addresses
Primary practice location
7521 Virginia Oaks Dr
Suite 204
Gainesville, VA 20155-3831
Mailing address
5719 Centre Square Dr
Centreville, VA 20120-1916
Phone (703) 818-8804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204890 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1003967175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5719 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-818-8804",
"fax_number": "703-818-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7521 VIRGINIA OAKS DR",
"address_2": "SUITE 204",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553831",
"telephone_number": "703-753-7600",
"fax_number": "703-753-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.