Individual provider Active NPI

Hy Ia, PT

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1487254827
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216217 Issued in VA
Practice address
13590 Richmond Hwy # 1
Woodbridge, VA 22191-1218
Phone
(703) 492-5050
NPI assigned
Oct 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 PT298478 CA
Physical Therapist 225100000X 2305216217 VA Primary

Addresses

Primary practice location

13590 Richmond Hwy # 1
Woodbridge, VA 22191-1218

Mailing address

13590 Richmond Hwy # 1
Woodbridge, VA 22191-1218
Phone (703) 492-5050

Other practice location 1

1516 S Sierra Vista Ave Apt C
Alhambra, CA 91801-5125
Phone (626) 758-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT298478CAMDPhysical Therapist
2305216217VAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1487254827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 RICHMOND HWY # 1",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911218",
            "telephone_number": "703-492-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 RICHMOND HWY # 1",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911218",
            "telephone_number": "703-492-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 S Sierra Vista Ave Apt C",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918015125",
            "country_code": "US",
            "telephone_number": "626-758-2265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IA",
        "first_name": "HY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298478",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.