Active NPI
Andrea C Bickford, DPT
- Physical Therapist
- McLean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 230521197
- Practice address
- 6829 Elm St
MC Lean, VA 22101-3884 - Phone
- (703) 532-4892
- NPI assigned
- Jul 28, 2016
- Last updated
- Aug 16, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 31504 | FL | |
| Physical Therapist | 225100000X | 40QA01802400 | NJ | |
| Physical Therapist | 225100000X | 230521197 | VA | Primary |
Addresses
Primary practice location
6829 Elm St
MC Lean, VA 22101-3884
Mailing address
6829 Elm St
MC Lean, VA 22101-3884
Phone (703) 532-4892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
16897 Algonquin St
Suite 101
Huntington Beach, CA 92649-3811
Phone (714) 841-6162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31504 | FL | MD | Physical Therapist |
| 40QA01802400 | NJ | MD | Physical Therapist |
| 230521197 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| DPT Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102
16897 Algonquin St
Ste 101
Huntington Beach, CA 92649
Phone (714) 475-2226
19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162
26522 La Alameda
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-2555
2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040
17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084
3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750
15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458
380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086
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.
-
- Physical Therapy Clinic/Center
- Carlsbad, CA
- NPI 1285729509
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1417400128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6829 ELM ST",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013884",
"telephone_number": "703-532-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6829 ELM ST",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013884",
"telephone_number": "703-532-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKFORD",
"first_name": "ANDREA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "31504",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01802400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "230521197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
- Bethesda Chevy Chase Orthopaedic Associates, LLC (Aligned Orthopedic and Sports Therapy)
- Bethesda-Chevy Chase Orthopaedic Associates
- Beyond Acupuncture LLC
- Beyond Acupuncture, LLC
- Kirit Bhatt, M.D.
- James L. Bicksel, M.D.
- Melanie Larrimore Bielski, M.S., CCC-SLP
- Big Smiles Virginia PC
- Ifat Bilitzer, M.A., BCBA
- Christopher Todd Bir, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.