Active NPI
Melissa Youtzy, D.P.T.
- Orthopedic Physical Therapist
- MC Lean, VA
National Provider Identifier
1154778124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT87230
- Practice address
- 6858 Old Dominion Dr
Suite 200
MC Lean, VA 22101-3899 - Phone
- (855) 546-2030
- NPI assigned
- May 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208972 | VA | |
| Orthopedic Physical Therapist | 2251X0800X | PT87230 | DC | Primary |
Addresses
Primary practice location
6858 Old Dominion Dr
Suite 200
MC Lean, VA 22101-3899
Mailing address
925 Half St SE
Washington, DC 20003-3658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208972 | VA | MD | Physical Therapist |
| PT87230 | DC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1154778124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HALF ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6858 OLD DOMINION DR",
"address_2": "SUITE 200",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013899",
"telephone_number": "855-546-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUTZY",
"first_name": "MELISSA",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208972",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "DC",
"license": "PT87230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.