Individual provider Active NPI

Leah Willis, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1679972723
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT872525 Issued in DC
Practice address
1015 18TH St NW Ste 400
Washington, DC 20036
Phone
(202) 827-8317
Fax
(202) 659-8724
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208902 VA
Physical Therapist 225100000X PT872525 DC Primary

Addresses

Primary practice location

1015 18TH St NW Ste 400
Washington, DC 20036

Mailing address

1015 18TH St NW Ste 300
Washington, DC 20036-5217
Phone (301) 896-9792

Other practice location 1

2800 S Shirlington Rd
Suite 510
Arlington, VA 22206-3601
Phone (703) 933-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141022001919 DC Practitioner - Physical Therapist in Private Practice 2860613593 Reassigns benefits to 2 organizations
I20141118001754 VA Practitioner - Physical Therapist in Private Practice 2860613593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 M St SE
Suite 325
Washington, DC 20003-3400
Phone (202) 900-2245

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT872525DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 16, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 16, 2019 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Aug 26, 2014 Accepting new patients
The Jackson Clinics LLC Physical Therapist Past Accepting new patients

Locations

1015 18th St NW
Ste 400
Washington, DC 20036
Phone (202) 827-8317

1015 18th St NW
Ste 300
Washington, DC 20036
Phone (202) 835-2222

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2800 S Shirlington Rd
Ste 510
Arlington, VA 22206
Phone (703) 933-0038

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

Organizations & group practices 5

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1679972723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 18TH ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365217",
            "telephone_number": "301-896-9792",
            "fax_number": "301-896-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 18TH ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "202-827-8317",
            "fax_number": "202-659-8724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S Shirlington Rd",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222063601",
            "country_code": "US",
            "telephone_number": "703-933-0038",
            "fax_number": "703-933-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "LEAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208902",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.