Individual provider Active NPI

Jason Alan Morrell, P.T.A.

  • Physical Therapy Assistant
  • Herndon, VA
National Provider Identifier
1124083654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1394 Issued in VA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130813000659 VA Practitioner - Physical Therapist in Private Practice 4688816192 Reassigns benefits to 1 organization
I20160629000057 DC Practitioner - Physical Therapist in Private Practice 4688816192 Reassigns benefits to 1 organization

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
Results Rehab and Fitness, IncGroup PAC ID 8224095468, 3 clinicians

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

LicenseStateTypeSpecialty
1394VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Results Rehab & Fitness, Inc CurrentSince Jun 17, 2013 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.

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.

Verify at the official NPI Registry.