Active NPI
Lydia Pavlova Ilieva, P.T.
- Physical Therapist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870718
- Practice address
- 3301 New Mexico Ave NW
Suite 318
Washington, DC 20016-3622 - Phone
- (202) 363-0454
- NPI assigned
- Sep 19, 2007
- Last updated
- Apr 7, 2009
- Sex
- Female
- 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 Therapist | 225100000X | PT870718 | DC | Primary |
Addresses
Primary practice location
3301 New Mexico Ave NW
Suite 318
Washington, DC 20016-3622
Mailing address
3301 New Mexico Ave NW
Suite 318
Washington, DC 20016-3622
Phone (202) 363-0454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3301 New Mexico Ave NW
Novacare Rehabilitation 50567 Suite 318
Washington, DC 20016-3622
Phone (202) 363-0454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Physical Therapist | Current | Accepting new patients |
Locations
3301 New Mexico Ave NW
Ste 318
Washington, DC 20016
Phone (202) 291-9266
600 Pennsylvania Ave SE
Ste 202
Washington, DC 20003
Phone (202) 543-9400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1548347008
Physical Therapist
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1538269303
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1124214671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 NEW MEXICO AVE NW",
"address_2": "SUITE 318",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163622",
"telephone_number": "202-363-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 NEW MEXICO AVE NW",
"address_2": "SUITE 318",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163622",
"telephone_number": "202-363-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIEVA",
"first_name": "LYDIA",
"middle_name": "PAVLOVA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.