Organization Active NPI

Pure Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Washington, DC
National Provider Identifier
1619218690
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT870491 Issued in DC
Legal business name
PURE SPORTS PHYSICAL THERAPY
Practice address
1218 9TH St NW
Washington, DC 20001-4202
Phone
(202) 656-8184
Fax
(202) 600-7627
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Purvi Sheth, MSPTNPI 1033308127
Title
Ceo/Owner
Phone
(202) 656-8184

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT870491 DC Primary

Addresses

Primary practice location

1218 9TH St NW
Washington, DC 20001-4202

Mailing address

1218 9TH St NW
Washington, DC 20001-4202
Phone (202) 656-8184

Other identifiers 1

IdentifierTypeStateIssuer
1033308127OtherNPI ENTITY 1

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130821000603 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133362270 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

1218 9th St NW
Washington, DC 20001
Phone (202) 656-8184

2121 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 656-8184

Practitioners & affiliated clinicians

Practitioners 2

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": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1619218690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 9TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014202",
            "telephone_number": "202-656-8184",
            "fax_number": "202-600-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 9TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014202",
            "telephone_number": "202-656-8184",
            "fax_number": "202-600-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "PURVI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "202-656-8184",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DC",
            "license": "PT870491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY 1",
            "identifier": "1033308127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.