NPIMap

Organization Active NPI

Washington Wellness Physical Therapy & Sports

  • Orthopedic Physical Therapist
  • Washington, DC
National Provider Identifier
1083045991
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
871545 Issued in DC
Legal business name
WASHINGTON WELLNESS PHYSICAL THERAPY & SPORTS
Practice address
1100 H St NW Ste LL-110
Washington, DC 20005-5476
Phone
(202) 347-2373
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Stacy Snow, DPT, PT, PTA, CSCS
Title
Physical Therapist
Phone
(202) 207-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 871545 DC Primary

Addresses

Primary practice location

1100 H St NW Ste LL-110
Washington, DC 20005-5476

Mailing address

1100 H St NW Ste LL-110
Washington, DC 20005-5476

National Provider Directory

National Provider Directory
Tax ID family
Washington Wellness Center for Physical Therapy and Sportscare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1083045991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 H ST NW STE LL-110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 H ST NW STE LL-110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476",
            "telephone_number": "202-347-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON WELLNESS PHYSICAL THERAPY & SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "202-207-8554",
        "authorized_official_credential": "DPT, PT, PTA, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "871545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.