Individual provider Active NPI

Jennifer Woodard Small, D.P.T., WCS, OCS

  • Orthopedic Physical Therapist
  • Ashburn, VA
National Provider Identifier
1609045525
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305005672 Issued in VA
Practice address
20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393
Phone
(703) 283-3311
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305005672 VA Primary

Addresses

Primary practice location

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393

Mailing address

19309 Winmeade Dr
Number 111
Lansdowne, VA 20176-6507
Phone (703) 283-3311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000605 VA Practitioner - Physical Therapist in Private Practice 4385718600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Core Health LLCGroup PAC ID 4183958507, 2 clinicians

Practice addresses (Care Compare)

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3394
Phone (571) 510-5968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health LLC Orthopedic CurrentSince Sep 14, 2023 Accepting new patients

Locations

20098 Ashbrook Pl
Ste 190
Ashburn, VA 20147
Phone (571) 223-0410

Organizations & group practices 1

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1609045525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19309 WINMEADE DR",
            "address_2": "NUMBER 111",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201766507",
            "telephone_number": "703-283-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL",
            "address_2": "SUITE 190",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473393",
            "telephone_number": "703-283-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JENNIFER",
        "middle_name": "WOODARD",
        "name_prefix": "Dr.",
        "credential": "D.P.T., WCS, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305005672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.