Active NPI
Albert Pannone, PT, DPT, ATC
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1063803062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209461
- Practice address
- 8501 Arlington Blvd Ste 200
Fairfax, VA 22031-4625 - Phone
- (703) 970-6423
- NPI assigned
- Feb 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305209461 | VA | Primary |
| Physical Therapist | 225100000X | PT024225 | PA |
Addresses
Primary practice location
8501 Arlington Blvd Ste 200
Fairfax, VA 22031-4625
Mailing address
6820 Thomas Blvd
Apt. 2C
Pittsburgh, PA 15208-2342
Phone (240) 727-9992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT024225 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1063803062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 THOMAS BLVD",
"address_2": "APT. 2C",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152082342",
"telephone_number": "240-727-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 ARLINGTON BLVD STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314625",
"telephone_number": "703-970-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNONE",
"first_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209461",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024225",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.