Active NPI
David S Mizener, P.T.
- Physical Therapist
- Manassas, VA
National Provider Identifier
1609890912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305000733
- Practice address
- 8705 Stonewall Rd
Manassas, VA 20110-4534 - Phone
- (703) 368-7343
- Fax
- (703) 368-0719
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305000733 | VA | Primary |
Addresses
Primary practice location
8705 Stonewall Rd
Manassas, VA 20110-4534
Mailing address
4948 Banbury Drive
Gainesville, VA 20155
Phone (703) 754-9796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Mizener & Associates Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Manassas, VA
- NPI 1912921545
-
- Physical Therapist
- Manassas, VA
- NPI 1194968768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609890912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4948 BANBURY DRIVE",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "20155",
"telephone_number": "703-754-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8705 STONEWALL RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104534",
"telephone_number": "703-368-7343",
"fax_number": "703-368-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZENER",
"first_name": "DAVID",
"middle_name": "S",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305000733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
- Melissa Eileen Mitchell, LCSW
- Simona Enrica Bettineschi Mitchell, CCC-SLP
- Tina Mitchell, MS-P, BS, CSAC-S
- Cameron Gregory Mittelman
- Mizener & Associates Physical Therapy
- Mobile Orthopaedics & Rehabilitation, PT
- Renee Moffett
- Kathleen T Moffitt, CERTIFIED NURSE MIDW
- Healther M. Mogg
- Mohammed H. Azim M.D. and Ahmad Z. Qasimyar M.D. PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.