Active NPI
Michael Mastrostefano, PT, OCS, MTC
- Physical Therapist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003855
- Practice address
- 80 East Jefferson St.
Suite 200
Falls Church, VA 22046-3567 - Phone
- (703) 237-2000
- Fax
- (703) 237-2155
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305003855 | VA | Primary |
Addresses
Primary practice location
80 East Jefferson St.
Suite 200
Falls Church, VA 22046-3567
Mailing address
80 East Jefferson St.
Suite 200
Falls Church, VA 22046-3567
Phone (703) 237-2000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00957 | Other | VA | MEDICARE PTAN |
| 8367-0001 | Other | VA | CAREFIRST BC/BS |
| 010066913 | Other | VA | FIRST HEALTH MEDICAID |
| 194012 | Other | VA | ANTHEM |
| 346761200 | Other | VA | US DEPT.F LABOR |
| 487998 | Other | VA | NCPPO |
| 7145603 | Other | VA | MAMSI |
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, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 E Jefferson St
Suite 200
Falls Church, VA 22046-3567
Phone (703) 237-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodies in Motion Physical Therapy IV, LLC | Physical Therapist | Current | Accepting new patients |
| Bodies in Motion Physical Therapy III, LLC | Physical Therapist | Current | Accepting new patients |
| Bodies in Motion Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4084 University Dr
Ste 103
Fairfax, VA 22030
Phone (703) 896-9999
80 E Jefferson St
Ste 200
Falls Church, VA 22046
Phone (703) 237-2000
803 W Broad St
Ste 600
Falls Church, VA 22046
Phone (703) 237-2000
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.
-
- Physical Therapist
- Alexandria, VA
- NPI 1154809531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1457340283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 EAST JEFFERSON ST.",
"address_2": "SUITE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463567",
"telephone_number": "703-237-2000",
"fax_number": "703-237-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 EAST JEFFERSON ST.",
"address_2": "SUITE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463567",
"telephone_number": "703-237-2000",
"fax_number": "703-237-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROSTEFANO",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT, OCS, MTC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G00957",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "8367-0001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH MEDICAID",
"identifier": "010066913",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "194012",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT.F LABOR",
"identifier": "346761200",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "487998",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "7145603",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.