Active NPI
Michael T Urben, P.T.
- Physical Therapist
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207222
- Practice address
- 115 Park St SE Ste 206
Vienna, VA 22180-4653 - Phone
- (703) 766-0616
- NPI assigned
- Mar 26, 2007
- Last updated
- Nov 27, 2023
- 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 | 012806L | PA | |
| Physical Therapist | 225100000X | 2305207222 | VA | Primary |
Addresses
Primary practice location
115 Park St SE Ste 206
Vienna, VA 22180-4653
Mailing address
115 Park St SE Ste 3206
Vienna, VA 22180-4653
Phone (703) 766-0616
Other practice location 1
2 Penn Blvd
Suite 220
Philadelphia, PA 19144-1416
Phone (615) 778-4066
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | murben711812@soc.inova.org | Health Information Exchange (HIE) | Inova Physician Partners, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24790 Meadows Farms CT
South Riding, VA 20152-4144
Phone (703) 372-4445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012806L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiron Diagnostics, LLC | Physical Therapist | Current | Accepting new patients |
| Chiron Physical Therapy of VA, LLC | Physical Therapist | Current | Accepting new patients |
| Virginia Hospital Center Arlington Health System | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Fairfax Family Practice Centers PC | Past | Accepting new patients | |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
24790 Meadows Farms Ct
South Riding, VA 20152
Phone (703) 372-4445
Organizations & group practices 8
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.
-
- Physical Therapist
- South Riding, VA
- NPI 1902354814
-
- Family Medicine Physician
- Chantilly, VA
- NPI 1215264916
-
dba Pivot Physical Therapy of Metro DC
- Clinic/Center
- Winchester, VA
- NPI 1033142294
-
- Clinical Electrophysiology Physical Therapist
- South Riding, VA
- NPI 1720720014
-
- Family Medicine Physician
- Herndon, VA
- NPI 1205944964
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
-
dba Pivot Physical Therapy
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
-
dba Virginia Hospital Center Outpatient Pharmacy
- Pharmacy
- Arlington, VA
- NPI 1790045052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1083732465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PARK ST SE STE 3206",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804653",
"telephone_number": "703-766-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PARK ST SE STE 206",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804653",
"telephone_number": "703-766-0616"
}
],
"practiceLocations": [
{
"address_1": "2 Penn Blvd",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191441416",
"country_code": "US",
"telephone_number": "615-778-4066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URBEN",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2023-11-27",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "012806L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207222",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "murben711812@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Physician Partners, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "115 Park St SE Ste 300",
"city": "Vienna",
"state": "VA",
"country_code": "US",
"postal_code": "221804653",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; 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.