Individual provider Active NPI

Bridget Julie Anna Nagy Crichton

  • Physical Therapist
  • Chantilly, VA
National Provider Identifier
1346856879
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213930 Issued in VA
Practice address
4229 Lafayette Center Dr Ste 1250
Chantilly, VA 20151-1266
Phone
(703) 263-2020
Fax
(702) 263-2015
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 2305213930 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1250
Chantilly, VA 20151-1266

Mailing address

4229 Lafayette Center Dr Ste 1250
Chantilly, VA 20151-1266
Phone (703) 263-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000698 DC Practitioner - Physical Therapist in Private Practice 2365861077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy LLCGroup PAC ID 8820137656, 6 clinicians

Practice addresses (Care Compare)

7700 B Gunston PLZ
Lorton, VA 22079-1897
Phone (703) 339-3767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213930VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy,LLC Physical Therapist CurrentSince Aug 25, 2020 Accepting new patients

Locations

4229 Lafayette Center Dr
Ste 1250
Chantilly, VA 20151
Phone (703) 263-2020

7700B Gunston Plz
Lorton, VA 22079
Phone (703) 263-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1346856879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1250",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511266",
            "telephone_number": "703-263-2020",
            "fax_number": "702-263-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1250",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511266",
            "telephone_number": "703-263-2020",
            "fax_number": "702-263-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICHTON",
        "first_name": "BRIDGET",
        "middle_name": "JULIE ANNA NAGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.