Individual provider Active NPI

Hanna Beth Jefson, PTA

  • Physical Therapy Assistant
  • Leesburgh, VA
National Provider Identifier
1386377802
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306604586 Issued in VA
Practice address
19441 Golf Vista Plaza
Suite 340
Leesburgh, VA 20176-8272
Phone
(703) 723-9527
Fax
(703) 723-4475
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604586 VA Primary

Addresses

Primary practice location

19441 Golf Vista Plaza
Suite 340
Leesburgh, VA 20176-8272

Mailing address

19441 Golf Vista Plaza
Suite 340
Leesburgh, VA 20176-8272
Phone (703) 723-9527

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

LicenseStateTypeSpecialty
2306604586VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Biomechanic Physical Therapy, PLLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

19441 Golf Vista Plz
Ste 340
Leesburg, VA 20176
Phone (703) 723-7726

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, 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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1386377802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 340",
            "city": "LEESBURGH",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "703-723-9527",
            "fax_number": "703-723-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 340",
            "city": "LEESBURGH",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "703-723-9527",
            "fax_number": "703-723-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFSON",
        "first_name": "HANNA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburgh, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.