Individual provider Active NPI

Elizabeth R Hennessey, PT, DPT

  • Physical Therapist
  • MC Lean, VA
National Provider Identifier
1205180528
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205997 Issued in VA
Practice address
1760 Old Meadow Rd Ste 205
MC Lean, VA 22102-4330
Phone
(703) 810-5214
Fax
(703) 810-5475
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205997 VA Primary

Addresses

Primary practice location

1760 Old Meadow Rd Ste 205
MC Lean, VA 22102-4330

Mailing address

PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910

Other names 1

  • Elizabeth A Read Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehennessey6463@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000528 DC Practitioner - Physical Therapist in Private Practice 0749433381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1760 Old Meadow Rd
Suite 205
MC Lean, VA 22102-4330
Phone (703) 810-5214

6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc. CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia, Inc CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia, Inc. Past Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

8501 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 573-3843

11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030
Phone (703) 246-8080

1760 Old Meadow Rd
Ste 500
McLean, VA 22102
Phone (703) 437-8195

1760 Old Meadow Rd
Ste 205
McLean, VA 22102
Phone (703) 810-5214

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: ehennessey6463@direct.orthovirginia.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1205180528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW RD STE 205",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024330",
            "telephone_number": "703-810-5214",
            "fax_number": "703-810-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehennessey6463@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Hennessey direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "8501 Arlington Blvd",
            "address_2": "Suite 400",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "READ",
            "middle_name": "A",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.