Individual provider Active NPI

Jose Layese, PT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1710692371
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT871637 Issued in DC
Practice address
12501 Prosperity Dr Ste 430
Silver Spring, MD 20904-1652
Phone
(301) 777-2000
Fax
(301) 777-2000
NPI assigned
Jan 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 PT871637 DC Primary

Addresses

Primary practice location

12501 Prosperity Dr Ste 430
Silver Spring, MD 20904-1652

Mailing address

12501 Prosperity Dr Ste 430
Silver Spring, MD 20904-1652
Phone (301) 777-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TabletLaptop Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420000879 DC Practitioner - Physical Therapist in Private Practice 6709241029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DC Luna Care Physical Therapy LLCGroup PAC ID 8325457468, 23 clinicians

Practice addresses (Care Compare)

1717 K St NW
Suite 900
Washington, DC 20006-5349
Phone (916) 232-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DC Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2023 Accepting new patients
Virginia Home Therapy LLC Physical Therapist CurrentSince Jan 22, 2023 Accepting new patients

Locations

1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047

12501 Prosperity Dr
Ste 430
Silver Spring, MD 20904
Phone (301) 777-2000

Organizations & group practices 2

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1710692371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 430",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041652",
            "telephone_number": "301-777-2000",
            "fax_number": "301-777-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 430",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041652",
            "telephone_number": "301-777-2000",
            "fax_number": "301-777-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYESE",
        "first_name": "JOSE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TabletLaptop",
            "affiliation": "N",
            "endpointDescription": "Tabletlaptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12501 Prosperity Dr Ste 430",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209041652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.