Active NPI
Itr Physical Therapy. Inc
- Physical Therapy Clinic/Center
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Chu, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Bethesda, MD
- NPI 1518096841
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.