Individual provider Active NPI

David Smith, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1699121285
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210245 Issued in VA
Practice address
8501 Arlington Blvd Ste 400
Fairfax, VA 22031
Phone
(703) 810-5218
Fax
(703) 810-5494
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 2305210245 VA Primary

Addresses

Primary practice location

8501 Arlington Blvd Ste 400
Fairfax, VA 22031

Mailing address

11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030-6078
Phone (703) 383-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsmith12242@direct.orthovirginia.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104001001 DC Practitioner - Physical Therapist in Private Practice 2567754104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210245VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince May 5, 2018 Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc Physical Therapist CurrentSince May 5, 2018 Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030
Phone (703) 246-8080

8501 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 573-3843

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1699121285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD",
            "address_2": "STE 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-383-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-810-5218",
            "fax_number": "703-810-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith12242@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Smith direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "8501 Arlington Blvd Ste 400",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.