Individual provider Active NPI

Bianca Bass, DPT

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1659350452
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205028 Issued in VA
Practice address
8320 Old Courthouse Rd Ste 410
Vienna, VA 22182-3848
Phone
(703) 734-2889
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21712 MD
Physical Therapist 225100000X PT870617 DC
Physical Therapist 225100000X 2305205028 VA Primary

Addresses

Primary practice location

8320 Old Courthouse Rd Ste 410
Vienna, VA 22182-3848

Mailing address

8320 Old Courthouse Rd Ste 410
Vienna, VA 22182-3848

Other practice location 1

3 Washington Cir NW
Suite 110
Washington, DC 20037-2356
Phone (202) 659-7625

Other identifiers 2

IdentifierTypeStateIssuer
K949 -0042OtherDCCAREFIRST
K949 - 0042OtherVACAREFIRST

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

State licenses

LicenseStateTypeSpecialty
21712MDMDPharmacist
2305205028VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince May 3, 2016 Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist PastSince Jul 13, 2012 Accepting new patients

Organizations & group practices 3

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1659350452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 410",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 410",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823848",
            "telephone_number": "703-734-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Washington Cir NW",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372356",
            "country_code": "US",
            "telephone_number": "202-659-7625",
            "fax_number": "202-659-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "BIANCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21712",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870617",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K949 -0042",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K949 - 0042",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.