Active NPI
Jennifer Woodard Small, D.P.T., WCS, OCS
- Orthopedic Physical Therapist
- Ashburn, VA
National Provider Identifier
1609045525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305005672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health LLC | Orthopedic | Current | 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.