Organization Active NPI

Itr Physical Therapy. Inc

  • Physical Therapy Clinic/Center
  • MC Lean, VA
National Provider Identifier
1619006947
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ITR PHYSICAL THERAPY. INC
Doing business as
ITR
Practice address
1313 Dolley Madison Blvd Ste 405
MC Lean, VA 22101-3953
Phone
(301) 770-7060
Fax
(703) 991-5369
NPI assigned
Mar 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Jennifer L Chu, PTNPI 1518096841
Title
President and Director
Phone
(301) 770-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 18949 MD
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1313 Dolley Madison Blvd Ste 405
MC Lean, VA 22101-3953

Mailing address

2211 Wakerobin LN
Reston, VA 20191-4105
Phone (703) 855-0281

Other practice location 1

4905 Del Ray Ave Ste 508
Bethesda, MD 20814-2556
Phone (301) 770-7060

Other names 1

  • ITR Doing business as

National Provider Directory

National Provider Directory

Locations

4815 Saint Elmo Ave
Bethesda, MD 20814
Phone (240) 543-0784

4905 Del Ray Ave
Ste 508
Bethesda, MD 20814
Phone (240) 630-2012

1305 Vincent Pl
Mc Lean, VA 22101
Phone (571) 489-9501

1313 Dolley Madison Blvd
Ste 405
Mc Lean, VA 22101
Phone (301) 770-7060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1619006947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 WAKEROBIN LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914105",
            "telephone_number": "703-855-0281",
            "fax_number": "703-991-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD STE 405",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013953",
            "telephone_number": "301-770-7060",
            "fax_number": "703-991-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4905 Del Ray Ave Ste 508",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142556",
            "country_code": "US",
            "telephone_number": "301-770-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ITR PHYSICAL THERAPY. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "301-770-7060",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "18949",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.