Organization Active NPI

Empower Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Leesburg, VA
National Provider Identifier
1346812047
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EMPOWER PHYSICAL THERAPY AND WELLNESS
Practice address
22 Fairfax St SE
Leesburg, VA 20175-3616
Phone
(703) 669-6100
Fax
(703) 669-6101
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Jennifer Anne Lausten, PTNPI 1235123282
Title
PT and Owner
Phone
(703) 944-7675

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 1

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

Addresses

Primary practice location

22 Fairfax St SE
Leesburg, VA 20175-3616

Mailing address

20817 Mintwood CT
Ashburn, VA 20147-4003
Phone (703) 944-7675

National Provider Directory

National Provider Directory

Locations

22 Fairfax St SE
Leesburg, VA 20175
Phone (703) 669-6100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1346812047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20817 MINTWOOD CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474003",
            "telephone_number": "703-944-7675",
            "fax_number": "703-669-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FAIRFAX ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753616",
            "telephone_number": "703-669-6100",
            "fax_number": "703-669-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "LAUSTEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PT AND OWNER",
        "authorized_official_telephone_number": "703-944-7675",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.