NPIMap

Organization Active NPI

Advanced PT and Rehabilitation Inc

  • Physical Therapist
  • Gainesville, VA
National Provider Identifier
1295717726
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004656 Issued in VA
Legal business name
ADVANCED PT AND REHABILITATION INC
Practice address
14535 John Marshall Highway
Suite 102
Gainesville, VA 20155
Phone
(703) 753-0974
Fax
(703) 753-9709
NPI assigned
Nov 18, 2005
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Holly D Moriarty, DCNPI 1346222338
Title
Owner
Phone
(703) 675-7179

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202666 VA
Physical Therapist 225100000X 2305004656 VA Primary
Occupational Therapist 225X00000X 0119003997 VA

Addresses

Primary practice location

14535 John Marshall Highway
Suite 102
Gainesville, VA 20155

Mailing address

14535 John Marshall Hwy Ste 104
Gainesville, VA 20155-4024
Phone (703) 753-0974

Other practice location 1

331 Walker Dr Ste 6
Warrenton, VA 20186-4374
Phone (703) 753-0974

Other identifiers 1

IdentifierTypeStateIssuer
1295717726OtherVANPI

Other names 1

  • Haymarket Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

14535 John Marshall Hwy
Ste 102
Gainesville, VA 20155
Phone (703) 753-0974

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1295717726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554024",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HIGHWAY",
            "address_2": "SUITE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Walker Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201864374",
            "country_code": "US",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PT AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-675-7179",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202666",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004656",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295717726",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haymarket Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Haymarket Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.