Active NPI
Jacqueline M Buscemi, PT
- Orthopedic Physical Therapist
- MC Lean, VA
National Provider Identifier
1326307414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305207372
- Practice address
- 6733 Curran St
Suite 100
MC Lean, VA 22101-6005 - Phone
- (703) 448-0259
- Fax
- (703) 448-0258
- NPI assigned
- May 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305207372 | VA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | P13630 | NC | |
| Athletic Trainer | 2255A2300X | 120602572 |
Addresses
Primary practice location
6733 Curran St
Suite 100
MC Lean, VA 22101-6005
Mailing address
6733 Curran St
Suite 100
MC Lean, VA 22101-6005
Phone (703) 448-0259
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P13630 | NC | MD | Orthopedic Physical Therapist |
| 2305207372 | VA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthology Mid-Atlantic Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Washington, DC
- NPI 1710346341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1326307414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6733 CURRAN ST",
"address_2": "SUITE 100",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221016005",
"telephone_number": "703-448-0259",
"fax_number": "703-448-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6733 CURRAN ST",
"address_2": "SUITE 100",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221016005",
"telephone_number": "703-448-0259",
"fax_number": "703-448-0258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCEMI",
"first_name": "JACQUELINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305207372",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P13630",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "120602572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.