Individual provider Active NPI

Jennifer White, D.P.T.

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1104931104
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202830 Issued in VA
Practice address
2579 John Milton Dr
120
Herndon, VA 20171-2563
Phone
(703) 860-2346
Fax
(703) 860-2348
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202830 VA Primary

Addresses

Primary practice location

2579 John Milton Dr
120
Herndon, VA 20171-2563

Mailing address

21342 Fultonham Cir
Ashburn, VA 20147-4850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwhite6490@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080311000762 DC Practitioner - Physical Therapist in Private Practice 4385662006 Reassigns benefits to 1 organization
I20230228000632 VA Practitioner - Physical Therapist in Private Practice 4385662006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (703) 810-5203

20041 Riverside Commons PLZ
Ashburn, VA 20147-5151
Phone (703) 446-0447

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Orthovirginia Inc. CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia, Inc CurrentSince Jan 1, 2015 Accepting new patients
Strait Physical Therapy, LLC Physical Therapist Past Accepting new patients
Leesburg Sports, Inc. PastSince Feb 2, 2002 Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

20041 Riverside Commons Plz
Ashburn, VA 20147
Phone (703) 277-2663

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1850 Town Center Pkwy
Ste 403
Reston, VA 20190
Phone (703) 736-2806

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: jwhite6490@direct.orthovirginia.com

Organizations & group practices 6

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1104931104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21342 FULTONHAM CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR",
            "address_2": "120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712563",
            "telephone_number": "703-860-2346",
            "fax_number": "703-860-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhite6490@direct.orthovirginia.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "2579 John Milton Dr",
            "address_2": "120",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201712563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.

Verify at the official NPI Registry.