Individual provider Active NPI

Elsa Antal, MSOT, OTR/L

  • Occupational Therapist
  • Ashburn, VA
National Provider Identifier
1265253173
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010665 Issued in VA
Practice address
19775 Belmont Executive PLZ Ste 125
Ashburn, VA 20147-7606
Phone
(571) 498-7752
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119010665 VA Primary

Addresses

Primary practice location

19775 Belmont Executive PLZ Ste 125
Ashburn, VA 20147-7606

Mailing address

2055 Hatchers Mill Rd
Marshall, VA 20115-3645

Other practice location 1

8255 Greensboro Dr Ste 150
Mc Lean, VA 22102-4918
Phone (571) 416-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250304001218 VA Practitioner - Occupational Therapist in Private Practice 2769903020 Reassigns benefits to 1 organization
I20250501001139 DC Practitioner - Occupational Therapist in Private Practice 2769903020 Reassigns benefits to 1 organization
I20251009004055 NY Practitioner - Occupational Therapist in Private Practice 2769903020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational Speech Massage Therapy and Acupuncture PLLGroup PAC ID 1254553639, 448 clinicians
Infinity Performance PT PLCGroup PAC ID 8426440421, 9 clinicians
Achieve at Home Physical Therapy PLLCGroup PAC ID 4789071903, 17 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1400 Montauk Hwy
Oakdale, NY 11769-1355
Phone (631) 876-2418

19775 Belmont Executive PLZ
Suite 125
Ashburn, VA 20147-7606
Phone (571) 498-7752

25 Strathmore Rd
Great Neck, NY 11023-1035
Phone (516) 500-8998

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

8255 Greensboro Dr
Suite 150
MC Lean, VA 22102-4918
Phone (571) 498-7752

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030613NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Performance PT PLC CurrentSince Nov 12, 2024 Accepting new patients
Achieve at Home Physical Therapy PLLC CurrentSince Sep 30, 2025 Accepting new patients

Locations

19775 Belmont Executive Plz
Ste 125
Ashburn, VA 20147
Phone (571) 498-7752

8255 Greensboro Dr
Ste 150
Mc Lean, VA 22102
Phone (571) 416-8244

Organizations & group practices 4

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": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1265253173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 HATCHERS MILL RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19775 BELMONT EXECUTIVE PLZ STE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477606",
            "telephone_number": "571-498-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8255 Greensboro Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024918",
            "country_code": "US",
            "telephone_number": "571-416-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTAL",
        "first_name": "ELSA",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.