Statera Spring Valley LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STATERA SPRING VALLEY LLC

Practice address

4301 50TH St NW Ste 100
Washington, DC 20016-4364

Phone

(202) 448-9662

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

George Leppert

Title

Owner

Phone

(713) 409-3483

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy and Balance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Agarwal

  • Physical Therapist
  • Vienna, VA
  • NPI 1417245325

  DC

  Medicare reassignment NPD
• Nuraliman Elmegahed, DPT

  • Physical Therapist
  • Malta, NY
  • NPI 1235919358

  DC

  Medicare reassignment NPD
• Alison Izzo, DPT

  • Physical Therapist
  • Oakton, VA
  • NPI 1962268789

  DC

  Medicare reassignment NPD
• Sheila Ziglari

  • Physical Therapist
  • Clinton, MD
  • NPI 1073177028

  DC

  Medicare reassignment NPD
• Rachel Marcroft, DPT

  • Physical Therapist
  • Washington, DC
  • NPI 1447141908
  NPD

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1124751219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W BROAD ST # 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463259",
            "telephone_number": "713-409-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 50TH ST NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164364",
            "telephone_number": "202-448-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 W Broad St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463259",
            "country_code": "US",
            "telephone_number": "703-936-0554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11410 Reston Station Blvd",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905363",
            "country_code": "US",
            "telephone_number": "703-665-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATERA SPRING VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "LEPPERT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-409-3483"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Starr
• Susan M Stasiewicz
• Robert Stephen Stasko, M.D.
• Katelyn Staso, CPNP-AC
• Kiril Stasovskyi
• Campbell States, LICSW
• Statesmen College Preparatory Academy for Boys
• Andre Staton
• Brittany Lenay Staton
• Jazzmine Staton

• Physical Therapy Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.