Individual provider Active NPI

Lori Brown Johnson, MPT

  • Physical Therapist
  • Leesburg, VA
National Provider Identifier
1063411049
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203733 Issued in VA
Practice address
19465 Deerfield Avenue Ste 405
Leesburg, VA 20176-1707
Phone
(703) 858-1800
Fax
(703) 858-1801
NPI assigned
Jul 20, 2005
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203733 VA Primary

Addresses

Primary practice location

19465 Deerfield Avenue Ste 405
Leesburg, VA 20176-1707

Mailing address

19465 Deerfield Avenue Ste 405
Leesburg, VA 20176-1707
Phone (703) 858-1800

Other practice location 1

20905 Professional Plz
Suite 110
Ashburn, VA 20147-7783
Phone (703) 726-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
61.29
Promoting interoperability
100
Improvement activities
40
Cost
80.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203733VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 1, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 1, 2019 Accepting new patients
Centers for Advanced Orthopaedics LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

19465 Deerfield Ave
Ste 405
Leesburg, VA 20176
Phone (703) 858-1800

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1063411049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVENUE STE 405",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761707",
            "telephone_number": "703-858-1800",
            "fax_number": "703-858-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVENUE STE 405",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761707",
            "telephone_number": "703-858-1800",
            "fax_number": "703-858-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20905 Professional Plz",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201477783",
            "country_code": "US",
            "telephone_number": "703-726-1616",
            "fax_number": "703-726-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LORI",
        "middle_name": "BROWN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.