Organization Active NPI

Emerald Care Associates PLLC

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1669212874
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMERALD CARE ASSOCIATES PLLC
Practice address
2627 Puritan CT
Herndon, VA 20171-2439
Phone
(571) 292-4865
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Balaji Srinivasan
Title
Owner
Phone
(571) 292-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2627 Puritan CT
Herndon, VA 20171-2439

Mailing address

2627 Puritan CT
Herndon, VA 20171-2439
Phone (571) 292-4865

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1669212874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 PURITAN CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712439",
            "telephone_number": "571-292-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 PURITAN CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712439",
            "telephone_number": "571-292-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "BALAJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-292-4865"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.