NPIMap

Organization Active NPI

Leesburg Sports, Inc.

  • Physical Therapy Clinic/Center
  • Purcellville, VA
National Provider Identifier
1023033354
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LEESBURG SPORTS, INC.
Practice address
17340 Pickwick Dr
Suite 120
Purcellville, VA 20132-6181
Phone
(540) 338-0685
Fax
(540) 338-0687
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 2

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

Addresses

Primary practice location

17340 Pickwick Dr
Suite 120
Purcellville, VA 20132-6181

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

  • Select Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107000771 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012956642 2 other NPIs on this enrollment
Practice locations: Leesburg, VA; Lovettsville, VA; Purcellville, VA

Outpatient physical therapy / speech pathology certification: CCN 496708

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 6, 2005
Last certification
May 23, 2023
Ownership / control type
Proprietary
Facility address
17340 Pickwick Drive, Suite 120
Purcellville, VA 20132

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Leesburg Sports Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

19500 Sandridge Way
Ste 390
Leesburg, VA 20176
Phone (703) 858-3100

540 Fort Evans Rd
Ste 106
Leesburg, VA 20176

540 Fort Evans Rd
Ste 206
Leesburg, VA 20176
Phone (703) 777-1026

2 Hammond Dr
Lovettsville, VA 20180

17340 Pickwick Dr
Purcellville, VA 20132
Phone (540) 338-0685

Practitioners & affiliated clinicians

Practitioners 2

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1023033354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR",
            "address_2": "SUITE 120",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326181",
            "telephone_number": "540-338-0685",
            "fax_number": "540-338-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG SPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "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": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.