Individual provider Active NPI

Casey Elston, PT,DPT

  • Physical Therapist
  • Leesburg, VA
National Provider Identifier
1104371079
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213110 Issued in VA
Practice address
44035 Riverside Pkwy Ste 500a
Leesburg, VA 20176-8278
Phone
(703) 858-6667
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62 040456 NY
Pediatric Physical Therapist 2251P0200X 2305213110 VA
Physical Therapist 225100000X 2305213110 VA Primary

Addresses

Primary practice location

44035 Riverside Pkwy Ste 500a
Leesburg, VA 20176-8278

Mailing address

4290 Marly Garden LN Apt 304
Fairfax, VA 22033-6411
Phone (716) 913-1276

Other practice location 1

590 Fishers Station Dr
Victor, NY 14564-9744
Phone (585) 924-7207

Other practice location 2

2100 Powhatan St
Falls Church, VA 22043-1940
Phone (703) 538-2400

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

LicenseStateTypeSpecialty
62 040456NYMDPhysical Therapist
2305213110VAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services PastSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1104371079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 MARLY GARDEN LN APT 304",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336411",
            "telephone_number": "716-913-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44035 RIVERSIDE PKWY STE 500A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768278",
            "telephone_number": "703-858-6667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Fishers Station Dr",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649744",
            "country_code": "US",
            "telephone_number": "585-924-7207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Powhatan St",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220431940",
            "country_code": "US",
            "telephone_number": "703-538-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSTON",
        "first_name": "CASEY",
        "name_prefix": "Miss",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 040456",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305213110",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.