Individual provider Active NPI

Heather Nicole White, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1518654284
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1664C Crystal Square Arc
Arlington, VA 22202-3322
Phone
(571) 257-8348
Fax
(571) 257-8349
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 VA Primary

Addresses

Primary practice location

1664C Crystal Square Arc
Arlington, VA 22202-3322

Mailing address

1664C Crystal Square Arc
Arlington, VA 22202-3322
Phone (571) 257-8348

Other names 1

  • Heather Nicole Leal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231113003566 DC Practitioner - Physical Therapist in Private Practice 8224485222 Reassigns benefits to 1 organization
I20231218003319 VA Practitioner - Physical Therapist in Private Practice 8224485222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respire Physical Therapy LLCGroup PAC ID 1456781459, 5 clinicians

Practice addresses (Care Compare)

5663 Columbia Pike
Falls Church, VA 22041-2868
Phone (703) 671-1871

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Apr 23, 2023 Accepting new patients

Locations

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

1664C Crystal Square Arc
Arlington, VA 22202
Phone (571) 257-8348

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

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.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1518654284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664C CRYSTAL SQUARE ARC",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023322",
            "telephone_number": "571-257-8348",
            "fax_number": "571-257-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664C CRYSTAL SQUARE ARC",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023322",
            "telephone_number": "571-257-8348",
            "fax_number": "571-257-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LEAL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 21, 2023; 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.