Individual provider Active NPI

Jaymee Lynn Dela Rosa Cruz, PT, DPT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1689157240
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212161 Issued in VA
Practice address
6410 Arlington Blvd Ste E
Falls Church, VA 22042-2355
Phone
(703) 717-7657
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 2305212161 VA Primary

Addresses

Primary practice location

6410 Arlington Blvd Ste E
Falls Church, VA 22042-2355

Mailing address

3201 Allen St Apt 303
Falls Church, VA 22042-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617002605 PA Practitioner - Physical Therapist in Private Practice 5698019180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Phoenix, AZ 85072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212161VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions, LLC Physical Therapist Current Accepting new patients
Atlas Physical Therapy & Associates, LLC Physical Therapist CurrentSince Oct 25, 2022 Accepting new patients

Locations

1406 Crain Hwy S
Ste 110
Glen Burnie, MD 21061
Phone (410) 762-2123

106 W Stuart Dr
Galax, VA 24333
Phone (276) 238-8900

54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280

1420 Spring Hill Rd
Ste 202
Mc Lean, VA 22102
Phone (571) 765-1730

204 Mill St NE
Ste E
Vienna, VA 22180
Phone (703) 991-8156

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1689157240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ALLEN ST APT 303",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ARLINGTON BLVD STE E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422355",
            "telephone_number": "703-717-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JAYMEE LYNN",
        "middle_name": "DELA ROSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212161",
            "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 Sep 10, 2018; 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.