Organization Active NPI

Sports PT Lab

  • Physical Therapy Clinic/Center
  • Falls Church, VA
National Provider Identifier
1528565827
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305207515 Issued in VA
Legal business name
SPORTS PT LAB
Practice address
350 S Washington St
Falls Church, VA 22046-4400
Phone
(703) 402-3541
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Kristin Sykes, DPTNPI 1326270943
Title
Doctor of Physical Therapy
Phone
(703) 402-3541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305207515 VA Primary

Addresses

Primary practice location

350 S Washington St
Falls Church, VA 22046-4400

Mailing address

7371 Atlas Walk Way # 170
Gainesville, VA 20155-2992
Phone (703) 402-3541

National Provider Directory

National Provider Directory

Locations

350 S Washington St
Falls Church, VA 22046
Phone (575) 642-1577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1528565827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 ATLAS WALK WAY # 170",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552992",
            "telephone_number": "703-402-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S WASHINGTON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464400",
            "telephone_number": "703-402-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PT LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "703-402-3541",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305207515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.