Individual provider Active NPI

Nicole Vanderwerker, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1427833813
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216918 Issued in VA
Practice address
2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone
(703) 892-6500
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 PT210002307 DC
Physical Therapist 225100000X 2305216918 VA Primary

Addresses

Primary practice location

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Mailing address

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Other practice location 1

2600 Virginia Ave NW Ste 705
Washington, DC 20037-1925
Phone (202) 470-1560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110000561 DC Practitioner - Physical Therapist in Private Practice 5193172252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

2800 S Shirlington Rd
Suite 700
Arlington, VA 22206-3611
Phone (703) 892-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216918VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC CurrentSince Feb 10, 2025 Accepting new patients
Sloane Stecker Washington DC PC Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Anderson Clinic LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

2600 Virginia Ave NW
Ste 705
Washington, DC 20037
Phone (202) 470-1560

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 700
Arlington, VA 22206
Phone (703) 879-0562

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

Organizations & group practices 3

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1427833813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Virginia Ave NW Ste 705",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371925",
            "country_code": "US",
            "telephone_number": "202-470-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERWERKER",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002307",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.