Organization Active NPI

Neurological Physical Therapy, PLLC

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1235316696
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEUROLOGICAL PHYSICAL THERAPY, PLLC
Practice address
7115 Leesburg Pike
Suite 305
Falls Church, VA 22043-2367
Phone
(703) 533-1515
Fax
(703) 894-4916
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Mr. Alison M Lichy, PTNPI 1396952529
Title
Owner
Phone
(703) 533-1515

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7115 Leesburg Pike
Suite 305
Falls Church, VA 22043-2367

Mailing address

7115 Leesburg Pike
Suite 305
Falls Church, VA 22043-2367
Phone (703) 533-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060420000131 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688683592 Receives reassigned benefits from 5 practitioners
Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Locations

7115 Leesburg Pike
Ste 305
Falls Church, VA 22043
Phone (703) 266-1293

Practitioners & affiliated clinicians

Practitioners 7

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1235316696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE 305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-533-1515",
            "fax_number": "703-894-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE 305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-533-1515",
            "fax_number": "703-894-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "LICHY",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-533-1515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.