Individual provider Active NPI

Anne F Suazo, MSPT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1689708661
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203028 Issued in VA
Practice address
455 Carlisle Dr Ste a
Herndon, VA 20170-5621
Phone
(703) 429-4603
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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 2305203028 VA Primary

Addresses

Primary practice location

455 Carlisle Dr Ste a
Herndon, VA 20170-5621

Mailing address

22559 Armstrong Ter Apt 201
Ashburn, VA 20148-6253
Phone (571) 236-9277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307002442 DC Practitioner - Physical Therapist in Private Practice 5698036630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Total Health Physical Therapy LLCGroup PAC ID 3971634890, 5 clinicians

Practice addresses (Care Compare)

1712 I St NW
Suite 305
Washington, DC 20006-3766
Phone (202) 669-8098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203028VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Therapy Physical Therapist CurrentSince Dec 10, 2017 Accepting new patients

Locations

1712 I St NW
Ste 305
Washington, DC 20006
Phone (202) 669-8098

Organizations & group practices 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1689708661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22559 ARMSTRONG TER APT 201",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486253",
            "telephone_number": "571-236-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CARLISLE DR STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705621",
            "telephone_number": "703-429-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAZO",
        "first_name": "ANNE",
        "middle_name": "F",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203028",
            "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 Aug 4, 2024; 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.