Individual provider Active NPI

Mary Christina Jamison, D.P.T

  • Geriatric Physical Therapist
  • Sterling, VA
National Provider Identifier
1437220746
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
25239 Issued in MD
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

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230825001883 DC Practitioner - Physical Therapist in Private Practice 1850642745 Reassigns benefits to 1 organization

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
Optimal Motion LLCGroup PAC ID 4789910654, 6 clinicians

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

LicenseStateTypeSpecialty
25239MDMDGeriatric Physical Therapist
002891WVMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Motion LLC Geriatrics CurrentSince Aug 7, 2023 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.

Verify at the official NPI Registry.