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
- Last updated
- Mar 9, 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. | Current | Accepting new patients | |
| Orthopaedic Specialists of North Carolina, P.a. | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
5838 Six Forks Rd
Ste 300
Raleigh, NC 27609
Phone (919) 782-5954
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OrthoNC
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
Physical Therapist
-
- Physical Therapist
- Centreville, VA
- NPI 1639594831
-
dba OrthoNC
- 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.