NPIMap

Organization Active NPI

Ace Physical Therapy & Sports Medicine Institute, LLC

  • Physical Therapy Clinic/Center
  • Baileys Crossroads, VA
National Provider Identifier
1013555150
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC
Practice address
5860 Columbia Pike Ste 104
Baileys Crossroads, VA 22041-2038
Phone
(703) 205-1233
Fax
(703) 641-0189
NPI assigned
Dec 19, 2019
Organization subpart
Yes
Parent organization
ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Mr. Michael Ercole, PT
Title
Director
Phone
(703) 205-1233

Specialties & licenses 1

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

Addresses

Primary practice location

5860 Columbia Pike Ste 104
Baileys Crossroads, VA 22041-2038

Mailing address

2841 Hartland Rd Ste 401B
Falls Church, VA 22043-3500
Phone (703) 205-1233

National Provider Directory

National Provider Directory
Tax ID family
Ace Physical Therapy Sport9 organizations share this tax ID, including this one
Part of
Ace Physical Therapy Sport

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1013555150",
    "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",
            "fax_number": "703-641-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 COLUMBIA PIKE STE 104",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412038",
            "telephone_number": "703-205-1233",
            "fax_number": "703-641-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "ERCOLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-205-1233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baileys Crossroads, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.