Organization Active NPI

University Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Washington, DC
National Provider Identifier
1588136733
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNIVERSITY PHYSICAL THERAPY ASSOCIATES
Practice address
1160 Varnum St NE Ste 217
Washington, DC 20017-2106
Phone
(202) 414-7868
Fax
(301) 322-9696
NPI assigned
Dec 28, 2018
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Abdul Jabbar
Title
Managing Partner
Phone
(202) 414-7868

Specialties & licenses 1

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

Addresses

Primary practice location

1160 Varnum St NE Ste 217
Washington, DC 20017-2106

Mailing address

5985 Spout Spring CT
Haymarket, VA 20169-3309
Phone (571) 620-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200309001129 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466880331 Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1588136733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 SPOUT SPRING CT",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693309",
            "telephone_number": "571-620-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106",
            "telephone_number": "202-414-7868",
            "fax_number": "301-322-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "JABBAR",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "202-414-7868"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.