Organization Active NPI

Spine and Orthopedic Solutions LLC

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1700449808
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINE AND ORTHOPEDIC SOLUTIONS LLC
Practice address
44320 Premier PLZ Unit 6
Ashburn, VA 20147-5076
Phone
(703) 777-5746
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Timothy Zelch, PTNPI 1073864005
Title
Owner
Phone
(703) 777-5746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

44320 Premier PLZ Unit 6
Ashburn, VA 20147-5076

Mailing address

2211 Wheelwright CT
Reston, VA 20191-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190528000866 VA Part B Supplier - Clinic/Group Practice 1456694884 Receives reassigned benefits from 7 practitioners
Practice locations: Ashburn, VA
O20221017003026 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456694884 Receives reassigned benefits from 5 practitioners
Practice locations: Herndon, VA

National Provider Directory

National Provider Directory

Locations

44320 Premier Plz
Unit 6
Ashburn, VA 20147
Phone (703) 777-5746

44320 Premier Plz
Ste 200
Ashburn, VA 20147
Phone (571) 264-6919

112 Elden St
Ste 40A
Herndon, VA 20170
Phone (703) 481-2359

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1700449808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 WHEELWRIGHT CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44320 PREMIER PLZ UNIT 6",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475076",
            "telephone_number": "703-777-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "ZELCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-777-5746",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.