Individual provider Active NPI

Justin Carl Hemmer, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1275965964
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208048 Issued in VA
Practice address
1860 Town Center Dr
Suite 300
Reston, VA 20190-5896
Phone
(703) 483-4684
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town Center Orthopaedic Associates P C 55 clinicians

Practice addresses (Care Compare)

6201 Centreville Rd
Suite 600
Centreville, VA 20121-2634
Phone (703) 435-6604

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130926000759 DC Practitioner - Physical Therapist in Private Practice 9638313901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208048VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates, P.C. Physical Therapist CurrentSince Aug 12, 2013 Accepting new patients
Town Center Orthopaedic Associates PC CurrentSince Aug 12, 2013 Accepting new patients

Locations

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 346-2411

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208048 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

1860 Town Center Dr
Suite 300
Reston, VA 20190-5896

Mailing address

3467 W First St
Ludington, MI 49431
Phone (231) 233-1712

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2013.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1275965964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 W FIRST ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "49431",
            "telephone_number": "231-233-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-483-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "JUSTIN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.