Individual provider Active NPI

Sue Song

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1477663102
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870539 Issued in DC
Practice address
2021 K St NW Ste 750
Washington, DC 20006-1023
Phone
(202) 775-5951
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203500 VA
Physical Therapist 225100000X 20786 MD
Physical Therapist 225100000X PT870539 DC Primary

Addresses

Primary practice location

2021 K St NW Ste 750
Washington, DC 20006-1023

Mailing address

2021 K St NW Ste 750
Washington, DC 20006-1023
Phone (202) 293-1853

Other identifiers 1

IdentifierTypeStateIssuer
PT870539OtherDCLICSENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180413001912 DC Practitioner - Physical Therapist in Private Practice 1456261288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

2021 K St NW
Novacare Rehabilitation 50568 Suite 750
Washington, DC 20006-1023
Phone (202) 293-1853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20786MDMDClinical Social Worker
2305203500VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Feb 19, 2018 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 19, 2018 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Texas Limited Partnership Past Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

600 Pennsylvania Ave SE
Ste 202
Washington, DC 20003
Phone (202) 543-9400

2021 K St NW
Ste 750
Washington, DC 20006
Phone (202) 293-1853

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1477663102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 750",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061023",
            "telephone_number": "202-293-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 750",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061023",
            "telephone_number": "202-775-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20786",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENSE #",
            "identifier": "PT870539",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.