Individual provider Active NPI

Melissa Huffstetler

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1114303146
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
150 Elden St
Suite 242
Herndon, VA 20170-4861
Phone
(703) 689-3737
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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 Primary

Addresses

Primary practice location

150 Elden St
Suite 242
Herndon, VA 20170-4861

Mailing address

PO Box 1769
Middleburg, VA 20118-1769

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150902002464 DC Practitioner - Physical Therapist in Private Practice 6406162692 Reassigns benefits to 3 organizations
I20150924000229 VA Practitioner - Physical Therapist in Private Practice 6406162692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Temple Foundation IncGroup PAC ID 4486630985, 16 clinicians

Practice addresses (Care Compare)

3020 Hamaker CT
Suite 100
Fairfax, VA 22031-2233
Phone (703) 844-8599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jul 29, 2015 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
The Temple Foundation Inc Physical Therapist CurrentSince May 12, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jul 29, 2015 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

4299 Chantilly Shopping Center Dr
Ste 104
Chantilly, VA 20151
Phone (703) 844-0690

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-8599

150 Elden St
Ste 242
Herndon, VA 20170
Phone (703) 689-3737

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 4

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1114303146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELDEN ST",
            "address_2": "SUITE 242",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704861",
            "telephone_number": "703-689-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFSTETLER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 4, 2022; 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.