Active NPI
Rachael Medler Pitsch, PT
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1407229867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209782
- Practice address
- 1920 Ballenger Avenue Suite 200
Alexandria, VA 22314-2231 - Phone
- (703) 810-5284
- NPI assigned
- Nov 7, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT871886 | DC | |
| Physical Therapist | 225100000X | 2305209782 | VA | Primary |
Addresses
Primary practice location
1920 Ballenger Avenue Suite 200
Alexandria, VA 22314-2231
Mailing address
PO Box 715868
Philadelphia, PA 19171
Phone (804) 915-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT871886 | DC | MD | Physical Therapist |
| 2305209782 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
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 and National Provider Directory roles.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1407229867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715868",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19171",
"telephone_number": "804-915-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BALLENGER AVENUE SUITE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142231",
"telephone_number": "703-810-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITSCH",
"first_name": "RACHAEL",
"middle_name": "MEDLER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-07",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871886",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.