Krysia Marie Angle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211896 Issued in VA

Practice address

150 Elden St Ste 242
Herndon, VA 20170-4845

Phone

(703) 689-3737

Fax

(703) 689-3889

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Krysia Marie Bock Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Life Physical Therapy IncGroup PAC ID 1759811946, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• One Life Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Coronado, CA
  • NPI 1144851361

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1013495498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ELDEN ST STE 242",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704845",
            "telephone_number": "703-689-3737",
            "fax_number": "703-689-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELDEN ST STE 242",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704845",
            "telephone_number": "703-689-3737",
            "fax_number": "703-689-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLE",
        "first_name": "KRYSIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSIA",
            "last_name": "BOCK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emelia F Andoh, DR.
• Osvaldo Cespedes Anez, MD FACS
• Angelic Homecare LLC
• Angels Home Health Care LLC
• Carolyn Mars Angioli, PNP
• Anh P Dang-Vu, MD, PC
• Tiffany H Anomaly, IBCLC
• Anthony J. Black, D.D.S,,P.C
• Leslie Aqueron, RBT
• Aquila Recovery of Virginia LLC

• Physical Therapist in Herndon, VA
• Providers in Herndon, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.