Organization Active NPI

Missing Link Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashburn, VA
National Provider Identifier
1619389657
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305204989 Issued in VA
Legal business name
MISSING LINK PHYSICAL THERAPY
Practice address
44933 George Washington Blvd
Suite 165
Ashburn, VA 20147-6300
Phone
(703) 858-5070
Fax
(703) 858-5904
NPI assigned
May 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Mr. Andre Heletsi, DPT, OCSNPI 1780898023
Title
Owner/ Physical Therapist
Phone
(703) 858-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305204989 VA Primary

Addresses

Primary practice location

44933 George Washington Blvd
Suite 165
Ashburn, VA 20147-6300

Mailing address

44933 George Washington Blvd
Suite 165
Ashburn, VA 20147-6300
Phone (703) 858-5070

Other identifiers 1

IdentifierTypeStateIssuer
1780898023OtherVAINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

44933 George Washington Blvd
Ste 165
Ashburn, VA 20147
Phone (703) 858-5070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1619389657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44933 GEORGE WASHINGTON BLVD",
            "address_2": "SUITE 165",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476300",
            "telephone_number": "703-858-5070",
            "fax_number": "703-858-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44933 GEORGE WASHINGTON BLVD",
            "address_2": "SUITE 165",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476300",
            "telephone_number": "703-858-5070",
            "fax_number": "703-858-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSING LINK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "HELETSI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-858-5070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305204989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1780898023",
            "state": "VA"
        }
    ],
    "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 25, 2014; 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.