Organization Active NPI

Infinity Performance PT PLC

  • Orthopedic Physical Therapist
  • Ashburn, VA
National Provider Identifier
1427718006
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
INFINITY PERFORMANCE PT PLC
Practice address
19775 Belmont Executive PLZ Ste 125
Ashburn, VA 20147-7606
Phone
(571) 498-7752
NPI assigned
Dec 23, 2021
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Richard Alan Banton, PTNPI 1164504601
Title
Ceo
Phone
(703) 967-8474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

19775 Belmont Executive PLZ Ste 125
Ashburn, VA 20147-7606

Mailing address

19775 Belmont Executive PLZ Ste 125
Ashburn, VA 20147-7606
Phone (703) 967-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220125002471 VA Part B Supplier - Clinic/Group Practice 8426440421 Receives reassigned benefits from 10 practitioners
Practice locations: Ashburn, VA
O20240409003328 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426440421 Receives reassigned benefits from 7 practitioners
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Locations

19775 Belmont Executive Plz
Ste 125
Ashburn, VA 20147
Phone (571) 498-7752

44115 Woodridge Pkwy
Ste 280B
Leesburg, VA 20176
Phone (571) 498-7752

8255 Greensboro Dr
Ste 150
Mc Lean, VA 22102
Phone (571) 416-8244

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1427718006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19775 BELMONT EXECUTIVE PLZ STE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477606",
            "telephone_number": "703-967-8474",
            "fax_number": "571-417-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19775 BELMONT EXECUTIVE PLZ STE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477606",
            "telephone_number": "571-498-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PERFORMANCE PT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "BANTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-967-8474",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.