NPIMap

Organization Active NPI

Washington Wellness Center for Physical Therapy and Sportscare, LLC

  • Physical Therapy Clinic/Center
  • Washington, DC
National Provider Identifier
1083980205
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
870799 Issued in DC
Legal business name
WASHINGTON WELLNESS CENTER FOR PHYSICAL THERAPY AND SPORTSCARE, LLC
Practice address
1100 H St NW
Suite LL-110
Washington, DC 20005-5476
Phone
(717) 371-4947
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Ms. Kelly Leininger, PT, DPT, CSCSNPI 1215951280
Title
PT/Owner
Phone
(717) 371-4947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 870799 DC Primary

Addresses

Primary practice location

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

Mailing address

1724 Kingsgate CT
#301
Alexandria, VA 22302-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000026 DC Part B Supplier - Clinic/Group Practice 5092970798 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Washington, DC

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.

Locations

1100 H St NW
Ste LL110
Washington, DC 20005
Phone (202) 347-2373

1100 H St NW
Ste L110
Washington, DC 20005

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1083980205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 KINGSGATE CT",
            "address_2": "#301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223022653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 H ST NW",
            "address_2": "SUITE LL-110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476",
            "telephone_number": "717-371-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON WELLNESS CENTER FOR PHYSICAL THERAPY AND SPORTSCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "LEININGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "717-371-4947",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DC",
            "license": "870799",
            "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 Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.