Active NPI
Elise Gelfand Lestz, PT
- Physical Therapist
- Woodbridge, VA
National Provider Identifier
1700988920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002352
- Practice address
- 14412 Jefferson Davis Hwy
Woodbridge, VA 22191-2806 - Phone
- (703) 499-9399
- Fax
- (703) 499-9553
- NPI assigned
- Sep 1, 2006
- Last updated
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305002352 | VA | Primary |
Addresses
Primary practice location
14412 Jefferson Davis Hwy
Woodbridge, VA 22191-2806
Mailing address
9104 Scott Street
Springfield, VA 22153
Phone (703) 866-4822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305002352 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1700988920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9104 SCOTT STREET",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "22153",
"telephone_number": "703-866-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14412 JEFFERSON DAVIS HWY",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221912806",
"telephone_number": "703-499-9399",
"fax_number": "703-499-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTZ",
"first_name": "ELISE",
"middle_name": "GELFAND",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305002352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.