Jeanne Conner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212380 Issued in VA

Practice address

7700B Gunston PLZ
Lorton, VA 22079-1897

Phone

(703) 339-3767

Fax

(703) 339-3793

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy LLCGroup PAC ID 8820137656, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Physical Therapy,LLC

  • Orthopedic Physical Therapist
  • Lorton, VA
  • NPI 1487889135

  DC

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1124593777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1250",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511266",
            "telephone_number": "703-263-2020",
            "fax_number": "703-263-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700B GUNSTON PLZ",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791897",
            "telephone_number": "703-339-3767",
            "fax_number": "703-339-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JEANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LISCENCE",
            "identifier": "23052112380",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Peter Ciampi, M.D.
• William Clark, ATC
• Clearfinity Eyecare PLLC
• Emily Cleveland, DPT
• Natalie Rose Collins, FNP-C
• Noelle Cook
• Dominique Cranford
• Carlo Crizaldo
• Eric Michael Cryan, DVM
• Dao T Nguyen DDS PC

• Physical Therapist in Lorton, VA
• Providers in Lorton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.