Individual provider Active NPI

Victoria Rose Direnzo

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1255959284
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27992 Issued in MD
Practice address
962 Wayne Ave Ste L-D
Silver Spring, MD 20910-4433
Phone
(301) 650-0036
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 27992 MD Primary

Addresses

Primary practice location

962 Wayne Ave Ste L-D
Silver Spring, MD 20910-4433

Mailing address

456 Stanfield Rd
Springfield, PA 19064-1358
Phone (610) 331-4719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714003371 DC Practitioner - Physical Therapist in Private Practice 2062835671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DC Luna Care Physical Therapy LLCGroup PAC ID 8325457468, 23 clinicians

Practice addresses (Care Compare)

1717 K St NW
Suite 900
Washington, DC 20006-5349
Phone (916) 232-3047

25 Massachusetts Ave NW
Suite C500
Washington, DC 20001-5562
Phone (202) 808-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC Physical Therapist CurrentSince May 3, 2022 Accepting new patients
DC Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC Current Accepting new patients

Locations

25 Massachusetts Ave NW
Ste C500
Washington, DC 20001
Phone (202) 808-9496

1100 H St NW
Ste LL110
Washington, DC 20005
Phone (202) 347-2373

1100 H St NW
#110
Washington, DC 20005
Phone (202) 347-2373

1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1255959284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 STANFIELD RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641358",
            "telephone_number": "610-331-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 WAYNE AVE STE L-D",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104433",
            "telephone_number": "301-650-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRENZO",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.