NPIMap

Organization Active NPI

Aid Performance Physical Therapy LLC

Doing business as Aid PPT

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1376614628
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AID PERFORMANCE PHYSICAL THERAPY LLC
Doing business as
Aid PPT
Practice address
20925 Professional PLZ Ste 110
Ashburn, VA 20147-3403
Phone
(703) 723-6758
Fax
(703) 723-6759
NPI assigned
Nov 10, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Andrew I Dombek, PTNPI 1306801857
Title
President Owner
Phone
(703) 723-6758

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

20925 Professional PLZ Ste 110
Ashburn, VA 20147-3403

Mailing address

20925 Professional PLZ Ste 110
Ashburn, VA 20147-3403
Phone (703) 723-6758

Other names 1

  • AID PPT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070301000470 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395847867 Receives reassigned benefits from 4 practitioners
Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory

Locations

43490 Yukon Dr
Ste 100
Ashburn, VA 20147
Phone (703) 723-6758

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1376614628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20925 PROFESSIONAL PLZ STE 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473403",
            "telephone_number": "703-723-6758",
            "fax_number": "703-723-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20925 PROFESSIONAL PLZ STE 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473403",
            "telephone_number": "703-723-6758",
            "fax_number": "703-723-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AID PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "DOMBEK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "703-723-6758",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AID PPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AID PPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.