NPIMap

Organization Active NPI

Elements Center Incorporated

  • Physical Therapy Clinic/Center
  • Washington, DC
National Provider Identifier
1235453374
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT870544 Issued in DC
Legal business name
ELEMENTS CENTER INCORPORATED
Practice address
2233 Wisconsin Ave NW
Suite 217
Washington, DC 20007-4104
Phone
(202) 333-5252
Fax
(202) 333-1159
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Dr. Justine Lynn Bernard, PT, DPTNPI 1417192485
Title
Owner, President
Phone
(202) 333-5252

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 Therapy Clinic/Center 261QP2000X PT870544 DC Primary

Addresses

Primary practice location

2233 Wisconsin Ave NW
Suite 217
Washington, DC 20007-4104

Mailing address

2233 Wisconsin Ave NW
Suite 217
Washington, DC 20007-4104
Phone (202) 333-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000713 DC Part B Supplier - Clinic/Group Practice 8628108354 Receives reassigned benefits from 6 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

2233 Wisconsin Ave NW
Ste 217
Washington, DC 20007
Phone (202) 333-5252

Practitioners & affiliated clinicians

Practitioners 8

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": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1235453374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW",
            "address_2": "SUITE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-333-5252",
            "fax_number": "202-333-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW",
            "address_2": "SUITE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-333-5252",
            "fax_number": "202-333-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "202-333-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DC",
            "license": "PT870544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.