Individual provider Active NPI

Cristina Marie Belmonte

  • Physical Therapist
  • Oakton, VA
National Provider Identifier
1427716133
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214804 Issued in VA
Practice address
2960 Chain Bridge Rd Ste 201
Oakton, VA 22124-3040
Phone
(703) 242-6460
NPI assigned
Nov 30, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 13367 CT
Physical Therapist 225100000X 2305214804 VA Primary

Addresses

Primary practice location

2960 Chain Bridge Rd Ste 201
Oakton, VA 22124-3040

Mailing address

26 Maltbie Ave
Stamford, CT 06902-1110
Phone (203) 536-4513

Other practice location 1

2960 Chain Bridge Rd Ste 201
Oakton, VA 22124-3040
Phone (703) 242-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211223000055 DC Practitioner - Physical Therapist in Private Practice 0648661835 Reassigns benefits to 1 organization
I20211227000608 VA Practitioner - Physical Therapist in Private Practice 0648661835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920

5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13367CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Dec 5, 2021 Accepting new patients

Locations

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

2960 Chain Bridge Rd
Ste 201
Oakton, VA 22124
Phone (703) 242-3460

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.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1427716133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MALTBIE AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021110",
            "telephone_number": "203-536-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CHAIN BRIDGE RD STE 201",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221243040",
            "telephone_number": "703-242-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Chain Bridge Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oakton",
            "state": "VA",
            "postal_code": "221243040",
            "country_code": "US",
            "telephone_number": "703-242-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELMONTE",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13367",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.