Individual provider Active NPI

Emily Lehecka, PT

  • Physical Therapist
  • Fairfax Station, VA
National Provider Identifier
1417599630
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214235 Issued in VA
Practice address
5618H Ox Rd
Fairfax Station, VA 22039-1018
Phone
(703) 426-4949
Fax
(703) 426-4977
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1277801 TX
Physical Therapist 225100000X 2305214235 VA Primary

Addresses

Primary practice location

5618H Ox Rd
Fairfax Station, VA 22039-1018

Mailing address

5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629
Phone (047) 568-4958

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http://www.integratedsportspt.com Direct
CONNECT URL http://www.sperorehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721000806 DC Practitioner - Physical Therapist in Private Practice 5496187684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Practice addresses (Care Compare)

5618 H Ox Rd
Fairfax Station, VA 22039-1018
Phone (703) 426-4949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Rehabilitation Network LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Progress Rehabilitation Network, LLC Physical Therapist PastSince Jul 21, 2024 Accepting new patients

Locations

3998 Fair Ridge Dr
Ste 125
Fairfax, VA 22033
Phone (703) 646-1270

5618H Ox Rd
Fairfax Station, VA 22039
Phone (703) 426-4949

5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1417599630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "047-568-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618H OX RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391018",
            "telephone_number": "703-426-4949",
            "fax_number": "703-426-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHECKA",
        "first_name": "EMILY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1277801",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.integratedsportspt.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "http://www.integratedsportspt.com",
            "address_1": "5618H Ox Rd",
            "city": "Fairfax Station",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220391018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.sperorehab.com",
            "affiliation": "N",
            "address_1": "4225 Guadalupe St",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787514224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax Station, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.

Verify at the official NPI Registry.