Individual provider Active NPI

Ashleigh Catherine Neal, P.T., D.P.T

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1336473008
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206179 Issued in VA
Practice address
4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917
Phone
(703) 865-7680
Fax
(703) 865-7683
NPI assigned
Sep 28, 2009
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206179 VA Primary

Addresses

Primary practice location

4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917

Mailing address

4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917
Phone (703) 865-7680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211002463 VA Practitioner - Physical Therapist in Private Practice 1153464573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primus Physical TherapyGroup PAC ID 4789981564, 6 clinicians

Practice addresses (Care Compare)

24600 Millstream Dr
Suite 435
Aldie, VA 20105-3511
Phone (844) 733-2139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206179VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primus Physical Therapy Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Primus Physical Therapy Fairfax Physical Therapist PastSince Nov 17, 2019 Accepting new patients

Locations

24600 Millstream Dr
Ste 435
Aldie, VA 20105
Phone (703) 936-7709

6101 Redwood Square Ctr
Ste 202
Centreville, VA 20121
Phone (703) 543-6660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1336473008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "SUITE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-865-7680",
            "fax_number": "703-865-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "SUITE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-865-7680",
            "fax_number": "703-865-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ASHLEIGH",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.