Active NPI
Elizabeth Zwicker, MS, LAT, ATC
- Athletic Trainer
- Leesburg, VA
National Provider Identifier
1396209045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002796
- Practice address
- 19455 Deerfield Ave Ste 306
Leesburg, VA 20176-8102 - Phone
- (703) 729-5010
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126002796 | VA | Primary |
Addresses
Primary practice location
19455 Deerfield Ave Ste 306
Leesburg, VA 20176-8102
Mailing address
42870 Chatelain Cir
Brambleton, VA 20148-7271
Phone (703) 895-7426
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002796 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1396209045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42870 CHATELAIN CIR",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201487271",
"telephone_number": "703-895-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19455 DEERFIELD AVE STE 306",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768102",
"telephone_number": "703-729-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWICKER",
"first_name": "ELIZABETH",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002796",
"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 Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.