Organization Active NPI

Medi-Ssage Clinic of Northern Virginia

  • Physical Therapy Clinic/Center
  • Warrenton, VA
National Provider Identifier
1013271360
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEDI-SSAGE CLINIC OF NORTHERN VIRGINIA
Practice address
20 S 2ND St
Warrenton, VA 20186-3338
Phone
(540) 347-3369
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miriam Lee White, LMT, MMPNPI 1568746055
Title
Owner
Phone
(540) 347-3369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

20 S 2ND St
Warrenton, VA 20186-3338

Mailing address

20 S 2ND St
Warrenton, VA 20186-3338
Phone (540) 347-3369

National Provider Directory

National Provider Directory

Locations

20 S 2nd St
Warrenton, VA 20186
Phone (540) 347-3369

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1013271360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 2ND ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863338",
            "telephone_number": "540-347-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 2ND ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863338",
            "telephone_number": "540-347-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-SSAGE CLINIC OF NORTHERN VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-347-3369",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.