Individual provider Active NPI

Joyce Jefferson, LPTA

  • Physical Therapy Assistant
  • Alexandria, VA
National Provider Identifier
1659807402
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2781 Issued in MD
Practice address
53 S Gordon St
Alexandria, VA 22304-4929
Phone
(703) 587-1907
Fax
(571) 970-6125
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2781 MD Primary

Addresses

Primary practice location

53 S Gordon St
Alexandria, VA 22304-4929

Mailing address

53 S Gordon St
Alexandria, VA 22304-4929
Phone (703) 587-1907

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A2781MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kineta Rehab Solutions, LLC Physical Therapy Assistant Past Accepting new patients
Kineta Rehab Solutions, LLC 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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1659807402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S GORDON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044929",
            "telephone_number": "703-587-1907",
            "fax_number": "571-970-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S GORDON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044929",
            "telephone_number": "703-587-1907",
            "fax_number": "571-970-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JOYCE",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.