Individual provider Active NPI

Janerita Nwako

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1508414673
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044803 Issued in NY
Practice address
200 N Glebe Rd Ste GR2
Arlington, VA 22203-3755
Phone
(703) 527-1700
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 CP031980T VA
Physical Therapist 225100000X 044803 NY Primary

Addresses

Primary practice location

200 N Glebe Rd Ste GR2
Arlington, VA 22203-3755

Mailing address

32 Union SQ E
New York, NY 10003-3209

Other practice location 1

32 Union Sq E
New York, NY 10003-3209
Phone (212) 677-3989

Other practice location 2

6400 Arlington Blvd Ste 900
Falls Church, VA 22042-2336
Phone (804) 597-8690

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients

Locations

200 N Glebe Rd
Ste GR2
Arlington, VA 22203
Phone (703) 243-1300

Organizations & group practices 2

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1508414673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GLEBE RD STE GR2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033755",
            "telephone_number": "703-527-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Union Sq E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033209",
            "country_code": "US",
            "telephone_number": "212-677-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Arlington Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220422336",
            "country_code": "US",
            "telephone_number": "804-597-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAKO",
        "first_name": "JANERITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP031980T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.