Vincent J Amuso Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215835 Issued in VA

Practice address

204 Mill St NE
Vienna, VA 22180-4500

Phone

(703) 991-8156

Fax

(703) 991-8158

NPI assigned

Nov 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1184137994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 STAINSBY CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361528",
            "telephone_number": "585-899-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MILL ST NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804500",
            "telephone_number": "703-991-8156",
            "fax_number": "703-991-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Crosspointe Ln Ste 6",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802986",
            "country_code": "US",
            "telephone_number": "585-347-4990",
            "fax_number": "585-347-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUSO",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215835",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Ambellu
• Sarah Elizabeth Amesbury, D.P.T.
• Fahima Amiri
• Alexis Ammons, PT, DPT
• Elizabeth Amponsah
• Jung Woo An
• Ayana Anderson
• Jaci Anderson
• Kelley M. Anderson, NP
• Humberto Marcelo Andreoli, M.D.

• Physical Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.