Individual provider Active NPI

Aleksandra Woessner, PT, DPT, CLT, CFPS

  • Physical Therapist
  • Bristow, VA
National Provider Identifier
1235667866
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12751 Sudley Manor Dr
Bristow, VA 20136-2726
Phone
(571) 379-8182
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011197 CT
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12751 Sudley Manor Dr
Bristow, VA 20136-2726

Mailing address

14583 Creek Branch CT
Centreville, VA 20120-1384
Phone (203) 917-1019

Other practice location 1

1 Glen Hill Rd
Danbury, CT 06811-4921
Phone (203) 744-2840

Other names 1

  • Dr. Aleksandra Nowakowska Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL awoessner@legacyinc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230120002173 VA Practitioner - Physical Therapist in Private Practice 5991047656 Reassigns benefits to 2 organizations
I20231003000030 DC Practitioner - Physical Therapist in Private Practice 5991047656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175

5109 Arrowbrook CT
Glen Allen, VA 23060-2876
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11197CTMDGeneral Practice Dentistry
011197CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

12751 Sudley Manor Dr
Bristow, VA 20136
Phone (571) 379-8182

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1235667866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14583 CREEK BRANCH CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201384",
            "telephone_number": "203-917-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 SUDLEY MANOR DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362726",
            "telephone_number": "571-379-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Glen Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068114921",
            "country_code": "US",
            "telephone_number": "203-744-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOESSNER",
        "first_name": "ALEKSANDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT, CFPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011197",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "awoessner@legacyinc.com",
            "affiliation": "N",
            "address_1": "12751 Sudley Manor Dr",
            "city": "Bristow",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201362726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEKSANDRA",
            "last_name": "NOWAKOWSKA",
            "prefix": "DR.",
            "credential": "PT, DPT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.