Elissa Dicarlo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4800 Issued in VA

Practice address

2021 K St NW Ste 500
Sports and Spinal Physical Therapy
Washington, DC 20006-1003

Phone

(301) 736-7611

Fax

(301) 736-7669

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthology Mid-Atlantic Physical Therapy, Inc.

  • Physical Therapist
  • Washington, DC
  • NPI 1710346341
  NPD (past)
• Sports and Spinal Physical Therapy, Inc.

  • Physical Therapist
  • Washington, DC
  • NPI 1750310918
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1720141138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 500",
            "address_2": "SPORTS AND SPINAL PHYSICAL THERAPY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003",
            "telephone_number": "202-736-7611",
            "fax_number": "301-736-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 500",
            "address_2": "SPORTS AND SPINAL PHYSICAL THERAPY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003",
            "telephone_number": "301-736-7611",
            "fax_number": "301-736-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "ELISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "4800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Dibia
• Mercy Dibie Ogbue
• Soraya Diblassio, MD
• Roland Dibo
• Jennifer Juliet Dicanio
• Suzannah Dichter, LCPC LCPAT
• Jernae Dickens-Brown
• Mikea Dickens-Gibson
• Duane Andrew Dickens
• Eleanor Dickens

• All providers in Washington, DC
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.