Organization Active NPI

Reston Podiatry Associates LTD

Doing business as Leesburg Foot and Ankle Center

  • Podiatrist
  • Leesburg, VA
National Provider Identifier
1174680540
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RESTON PODIATRY ASSOCIATES LTD
Doing business as
Leesburg Foot and Ankle Center
Practice address
211 Gibson Street NW
Leesburg, VA 20176
Phone
(703) 777-2101
Fax
(703) 777-4431
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Donna Jens
Title
Practice Manager
Phone
(703) 368-7166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

211 Gibson Street NW
Leesburg, VA 20176

Mailing address

211 Gibson St NW
Suite 101
Leesburg, VA 20176-2115
Phone (703) 777-2101

Other names 1

  • Leesburg Foot and Ankle Center Doing business as

National Provider Directory

National Provider Directory

Locations

211 Gibson St NW
Ste 101
Leesburg, VA 20176
Phone (703) 777-2101

211 Gibson St NW
Leesburg, VA 20176
Phone (703) 777-2101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1174680540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GIBSON ST NW",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762115",
            "telephone_number": "703-777-2101",
            "fax_number": "703-777-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GIBSON STREET NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-777-2101",
            "fax_number": "703-777-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON PODIATRY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "JENS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-368-7166"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leesburg Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.