Active NPI
University Physical Therapy Associates
- Physical Therapy Clinic/Center
- Washington, DC
National Provider Identifier
1588136733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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": []
}
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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.