Individual provider Active NPI

Eric Aaron Ingold, DPT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1396896205
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202442 Issued in VA
Practice address
209 Elden St
Suite 106
Herndon, VA 20170-4852
Phone
(703) 481-3551
Fax
(703) 481-3276
NPI assigned
Jan 16, 2007
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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 2305202442 VA Primary

Addresses

Primary practice location

209 Elden St
Suite 106
Herndon, VA 20170-4852

Mailing address

16545 Goldencrest Cir
Suite 106
Purcellville, VA 20132-9654
Phone (571) 858-9398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000289 VA Practitioner - Physical Therapist in Private Practice 2961553698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16545 Goldencrest Cir
Purcellville, VA 20132-9654
Phone (571) 858-9398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305202442VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jun 19, 2009 Accepting new patients
Physical Therapy Connection of McLean LP Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1396896205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16545 GOLDENCREST CIR",
            "address_2": "SUITE 106",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201329654",
            "telephone_number": "571-858-9398",
            "fax_number": "571-858-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ELDEN ST",
            "address_2": "SUITE 106",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704852",
            "telephone_number": "703-481-3551",
            "fax_number": "703-481-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGOLD",
        "first_name": "ERIC",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.