Active NPI
Ian John Delrosario, B.S.P.T.
- Physical Therapist
- Arlington, VA
National Provider Identifier
1093991382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204945
- Practice address
- 5165 11TH St S
Arlington, VA 22204-3231 - Phone
- (703) 933-0297
- NPI assigned
- Jan 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204945 | VA | Primary |
Addresses
Primary practice location
5165 11TH St S
Arlington, VA 22204-3231
Mailing address
7126 Gough St
Baltimore, MD 21224-1807
Phone (571) 224-7701
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204945 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1093991382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7126 GOUGH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212241807",
"telephone_number": "571-224-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 11TH ST S",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222043231",
"telephone_number": "703-933-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELROSARIO",
"first_name": "IAN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "B.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.