Active NPI
Stephanie Ann Diorio, MSPT
- Physical Therapist
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205794
- Practice address
- 19540 Sandridge Way
Leesburg, VA 20176-8286 - Phone
- (919) 475-8378
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205794 | VA | Primary |
Addresses
Primary practice location
19540 Sandridge Way
Leesburg, VA 20176-8286
Mailing address
43982 Cheltenham Cir
Ashburn, VA 20147-4902
Phone (919) 475-8378
Other names 1
- Ms. Stephanie Ann Wesolowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
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
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
3365 Ogden Rd
Roanoke, VA 24018-1151
Phone 5406827506506
5901 Macarthur Blvd NW
Washington, DC 20016-2541
Phone (202) 244-6800
9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205794 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500
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.
-
- Physical Therapist
- Roanoke, VA
- NPI 1740820828
-
- Physical Therapist
- Washington, DC
- NPI 1255750030
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Silver Spring, MD
- NPI 1376151811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697932800000",
"number": "1407935968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43982 CHELTENHAM CIR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474902",
"telephone_number": "919-475-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19540 SANDRIDGE WAY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768286",
"telephone_number": "919-475-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIORIO",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2023-10-22",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "WESOLOWSKI",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 22, 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.