Individual provider Active NPI

Melinda Clouse, PT

  • Physical Therapy Clinic/Center
  • Falls Church, VA
National Provider Identifier
1316711732
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305004641 Issued in VA
Practice address
200 Little Falls St Ste 410
Falls Church, VA 22046-4302
Phone
(703) 244-6884
Fax
(703) 940-1077
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305004641 VA Primary

Addresses

Primary practice location

200 Little Falls St Ste 410
Falls Church, VA 22046-4302

Mailing address

200 Little Falls St Ste 410
Falls Church, VA 22046-4302
Phone (703) 244-6884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305004641VAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Vigeo PT LLC CurrentSince Nov 12, 2023 Accepting new patients
Vigeo Home Health LLC PastSince Jun 1, 2024 Accepting new patients

Locations

200 Little Falls St
Ste 410
Falls Church, VA 22046
Phone (703) 244-6884

Organizations & group practices 2

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1316711732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LITTLE FALLS ST STE 410",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464302",
            "telephone_number": "703-244-6884",
            "fax_number": "703-940-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LITTLE FALLS ST STE 410",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464302",
            "telephone_number": "703-244-6884",
            "fax_number": "703-940-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "MELINDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305004641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.