Individual provider Active NPI

Melissa Youtzy, D.P.T.

  • Orthopedic Physical Therapist
  • MC Lean, VA
National Provider Identifier
1154778124
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT87230 Issued in DC
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

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2305208972VAMDPhysical Therapist
PT87230DCMDOrthopedic 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.

Verify at the official NPI Registry.