Individual provider Active NPI

Lisa Lynn Nelson, RPT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1649734500
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003392 Issued in VA
Practice address
6066 Leesburg Pike Ste 900
Falls Church, VA 22041-2240
Phone
(703) 820-2001
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305003392 VA Primary

Addresses

Primary practice location

6066 Leesburg Pike Ste 900
Falls Church, VA 22041-2240

Mailing address

705 Wintergreen Dr
Purcellville, VA 20132-3290
Phone (540) 338-2973

Other practice location 1

211 Gibson St NW Ste 207
Leesburg, VA 20176-2115
Phone (703) 737-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Home Health Care Past Accepting new patients
Capital Home Health Care Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1649734500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WINTERGREEN DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323290",
            "telephone_number": "540-338-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 LEESBURG PIKE STE 900",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412240",
            "telephone_number": "703-820-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Gibson St NW Ste 207",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201762115",
            "country_code": "US",
            "telephone_number": "703-737-6310",
            "fax_number": "703-737-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.