NPIMap

Loudoun Physical Therapy, Inc.

Organization Active NPI Physical Therapist · Leesburg, VA

NPI 1629128152 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1629128152
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
LOUDOUN PHYSICAL THERAPY, INC.
Practice address
525 E Market St
Suite B
Leesburg, VA 20176-4171
Phone
(703) 443-6700
Fax
(703) 443-6702
NPI assigned
Jan 10, 2007
Organization subpart
No

Authorized official

Name
Mrs. Genevieve E. Griffin, PT, DPT NPI 1033159504
Title
President
Phone
(703) 443-6700

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

Practitioners 67

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

View all 67

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040323001554 VA Part B Supplier - Clinic/Group Practice 4981595469 Receives reassigned benefits from 6 practitioners
Practice locations: Leesburg, VA; Lansdowne, VA

National Provider Directory

Locations

44050 Woodridge Pkwy
Lansdowne, VA 20176
Phone (703) 443-6700

1043 Edwards Ferry Rd NE
#H
Leesburg, VA 20176
Phone (703) 443-6700

60 Ida Lee Dr NW
Leesburg, VA 20176
Phone (703) 443-6700

525 E Market St
Ste B
Leesburg, VA 20176
Phone (703) 443-6700

46105 Loudoun Park Ln
Sterling, VA 20164
Phone (703) 443-6700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X

Addresses

Primary practice location

525 E Market St
Suite B
Leesburg, VA 20176-4171

Mailing address

525 E Market St
Suite B
Leesburg, VA 20176-4171
Phone (703) 443-6700

Other names

  • Loudoun Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 10, 2023.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1629128152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "SUITE B",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764171",
            "telephone_number": "703-443-6700",
            "fax_number": "703-443-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "SUITE B",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764171",
            "telephone_number": "703-443-6700",
            "fax_number": "703-443-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-443-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loudoun Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.