Individual provider Active NPI

Mary Annelise Weir

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1508322355
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212606 Issued in VA
Practice address
8101 Hinson Farm Rd Ste 401
Alexandria, VA 22306-3409
Phone
(703) 664-7660
Fax
(703) 664-7663
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212606 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd Ste 401
Alexandria, VA 22306-3409

Mailing address

25 Massachusetts Ave NW Ste C500
Washington, DC 20001-1430

Other practice location 1

1100 H St NW Ste Ll-110
Washington, DC 20005-5476
Phone (202) 347-2373

Other practice location 2

25 Massachusetts Ave NW Ste C500
Washington, DC 20001-1430
Phone (202) 808-9496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mweir772483@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212606VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mweir772483@soc.inova.org

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1508322355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MASSACHUSETTS AVE NW STE C500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063409",
            "telephone_number": "703-664-7660",
            "fax_number": "703-664-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 H St NW Ste Ll-110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200055476",
            "country_code": "US",
            "telephone_number": "202-347-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Massachusetts Ave NW Ste C500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200011430",
            "country_code": "US",
            "telephone_number": "202-808-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "MARY",
        "middle_name": "ANNELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mweir772483@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8101 Hinson Farm Rd Ste 401",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223063409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.