Active NPI
Preeti Matneja, P.T.
- Physical Therapist
- Reston, VA
National Provider Identifier
1225242548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204947
- Practice address
- 1800 Town Center Dr Ste 311
Reston, VA 20190-3239 - Phone
- (703) 626-5000
- Fax
- (703) 935-0368
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204947 | VA | Primary |
Addresses
Primary practice location
1800 Town Center Dr Ste 311
Reston, VA 20190-3239
Mailing address
10619 Elmont CT
Fairfax, VA 22030-2805
Phone (516) 476-7927
Other practice location 1
8300 Greensboro Dr
McLean, VA 22102-3605
Phone (703) 556-8477
Other practice location 2
8300 Greensboro Dr
McLean, VA 22102-3605
Phone (703) 556-8477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25017 White Sands Dr
Chantilly, VA 20152-4153
Phone (619) 203-9674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204947 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Rehab Plus LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1225242548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10619 ELMONT CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302805",
"telephone_number": "516-476-7927",
"fax_number": "703-935-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TOWN CENTER DR STE 311",
"city": "RESTON",
"state": "VA",
"postal_code": "201903239",
"telephone_number": "703-626-5000",
"fax_number": "703-935-0368"
}
],
"practiceLocations": [
{
"address_1": "8300 Greensboro Dr",
"address_purpose": "LOCATION",
"city": "McLean",
"state": "VA",
"postal_code": "221023605",
"country_code": "US",
"telephone_number": "703-556-8477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8300 Greensboro Dr",
"address_purpose": "LOCATION",
"city": "McLean",
"state": "VA",
"postal_code": "221023605",
"country_code": "US",
"telephone_number": "703-556-8477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATNEJA",
"first_name": "PREETI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.