Active NPI
Mary Christina Jamison, D.P.T
- Geriatric Physical Therapist
- Sterling, VA
National Provider Identifier
1437220746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 25239
- Practice address
- 101 Cherry Tree CT
Sterling, VA 20164-2402 - Phone
- (304) 702-0525
- NPI assigned
- Nov 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 002891 | WV | |
| Geriatric Physical Therapist | 2251G0304X | 25239 | MD | Primary |
Addresses
Primary practice location
101 Cherry Tree CT
Sterling, VA 20164-2402
Mailing address
101 Cherry Tree CT
Sterling, VA 20164-2402
Phone (304) 702-0525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
950 Herndon Pkwy
Suite 425
Herndon, VA 20170-5537
Phone (703) 665-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25239 | MD | MD | Geriatric Physical Therapist |
| 002891 | WV | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Motion LLC | Geriatrics | Current | Accepting new patients |
Locations
950 Herndon Pkwy
Ste 425
Herndon, VA 20170
Phone (703) 249-9192
Organizations & group practices 1
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": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1437220746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CHERRY TREE CT",
"city": "STERLING",
"state": "VA",
"postal_code": "201642402",
"telephone_number": "304-702-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CHERRY TREE CT",
"city": "STERLING",
"state": "VA",
"postal_code": "201642402",
"telephone_number": "304-702-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "MARY",
"middle_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WV",
"license": "002891",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MD",
"license": "25239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.