Individual provider Active NPI

Timothy George Zelch, DPT

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1073864005
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209414 Issued in VA
Practice address
501 Church St NE
Ste 105
Vienna, VA 22180-4734
Phone
(703) 938-8585
NPI assigned
Oct 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 2305209414 VA Primary

Addresses

Primary practice location

501 Church St NE
Ste 105
Vienna, VA 22180-4734

Mailing address

2469 Glengyle Dr
Vienna, VA 22181-5505
Phone (412) 401-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171110000516 DC Practitioner - Physical Therapist in Private Practice 4688808843 Reassigns benefits to 1 organization
I20190528001454 VA Practitioner - Physical Therapist in Private Practice 4688808843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Orthopedic Solutions LLCGroup PAC ID 1456694884, 4 clinicians

Practice addresses (Care Compare)

112 Elden St
Suite 40a
Herndon, VA 20170-4874
Phone (703) 481-2359

44320 Premier PLZ
Suite 200
Ashburn, VA 20147-5077
Phone (703) 777-5746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209414VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Solutions LLC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

44320 Premier Plz
Ste 200
Ashburn, VA 20147
Phone (571) 264-6919

112 Elden St
Ste 40A
Herndon, VA 20170
Phone (703) 481-2359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1073864005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 GLENGYLE DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815505",
            "telephone_number": "412-401-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE",
            "address_2": "STE 105",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734",
            "telephone_number": "703-938-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELCH",
        "first_name": "TIMOTHY",
        "middle_name": "GEORGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.