Active NPI
Jason Alan Morrell, P.T.A.
- Physical Therapy Assistant
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1394
- Practice address
- 209 Elden St
Suite 106
Herndon, VA 20170-4852 - Phone
- (703) 481-3551
- Fax
- (703) 481-3276
- NPI assigned
- Apr 18, 2006
- 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 Therapy Assistant | 225200000X | 1394 | VA | Primary |
Addresses
Primary practice location
209 Elden St
Suite 106
Herndon, VA 20170-4852
Mailing address
22278 Great Trail Ter
Sterling, VA 20164
Phone (703) 450-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10373 Democracy LN
Suite a
Fairfax, VA 22030-2588
Phone (703) 385-2855
7521 Virginia Oaks Dr
Suite 240
Gainesville, VA 20155-3831
Phone (703) 753-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1394 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Rehab & Fitness, Inc | Current | Accepting new patients | |
| Physical Therapy Connection of McLean Limited Partnership | Past | Accepting new patients | |
| Physical Therapy Connection of McLean LP | Past | Accepting new patients |
Locations
5719 Centre Square Dr
Centreville, VA 20120
Phone (703) 818-8804
10373 Democracy Ln
Ste A
Fairfax, VA 22030
Phone (703) 385-2855
7521 Virginia Oaks Dr
Ste 240
Gainesville, VA 20155
Phone (703) 753-7600
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- McLean, VA
- NPI 1164511333
-
- Physical Therapy Clinic/Center
- Herndon, VA
- NPI 1699864876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124083654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22278 GREAT TRAIL TER",
"city": "STERLING",
"state": "VA",
"postal_code": "20164",
"telephone_number": "703-450-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 ELDEN ST",
"address_2": "SUITE 106",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704852",
"telephone_number": "703-481-3551",
"fax_number": "703-481-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRELL",
"first_name": "JASON",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "1394",
"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 Jul 8, 2007; 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.