NPIMap

Organization Active NPI

Full Circle PT

  • Physical Therapy Clinic/Center
  • Washington, DC
National Provider Identifier
1174132302
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FULL CIRCLE PT
Practice address
904 E Capitol St NE BSMT
Washington, DC 20003-3904
Phone
(917) 804-8707
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Ms. Kendall Black, MPT, CSCSNPI 1790966984
Title
Principle Physical Therapist
Phone
(917) 804-8707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

904 E Capitol St NE BSMT
Washington, DC 20003-3904

Mailing address

904 E Capitol St NE BSMT
Washington, DC 20003-3904
Phone (917) 804-8707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1174132302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E CAPITOL ST NE BSMT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033904",
            "telephone_number": "917-804-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E CAPITOL ST NE BSMT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033904",
            "telephone_number": "917-804-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "PRINCIPLE PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-804-8707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Jul 23, 2020; 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.