Active NPI
William Dubiel, DPT
- Physical Therapist
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305213442
- Practice address
- 13039 Worldgate Dr
Herndon, VA 20170-4374 - Phone
- (703) 689-3164
- Fax
- (703) 689-3167
- NPI assigned
- Feb 27, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305213442 | VA | Primary |
Addresses
Primary practice location
13039 Worldgate Dr
Herndon, VA 20170-4374
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 689-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mercy College, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1936 Golden Spur LN
Wendell, NC 27591-3305
Phone 91956294103305
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305213442 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of North Carolina, P.a. | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients | |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545
5838 Six Forks Rd
Ste 300
Raleigh, NC 27609
Phone (919) 782-5954
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
1936 Golden Spur Ln
Wendell, NC 27591
Interoperability endpoints
- william.dubiel.1@12529.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
Physical Therapist
-
- Physical Therapist
- Centreville, VA
- NPI 1639594831
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1447553870
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1407480478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "703-689-3164",
"fax_number": "703-689-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13039 WORLDGATE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704374",
"telephone_number": "703-689-3164",
"fax_number": "703-689-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIEL",
"first_name": "WILLIAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305213442",
"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 Mar 9, 2020; 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.