Organization Active NPI

Define Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Alexandria, VA
National Provider Identifier
1275932584
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305207266 Issued in VA
Legal business name
DEFINE PHYSICAL THERAPY, LLC
Practice address
2657 Centennial CT
Alexandria, VA 22311-1303
Phone
(240) 286-3822
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mr. Miley Craig Peppers III, DPTNPI 1548570658
Title
Ceo/Owner
Phone
(240) 286-3822

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 2305207266 VA Primary

Addresses

Primary practice location

2657 Centennial CT
Alexandria, VA 22311-1303

Mailing address

2657 Centennial CT
Alexandria, VA 22311-1303
Phone (240) 286-3822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1275932584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 CENTENNIAL CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111303",
            "telephone_number": "240-286-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 CENTENNIAL CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111303",
            "telephone_number": "240-286-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "MILEY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-286-3822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305207266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.