Individual provider Active NPI

Leonardo Quiroga, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1730844374
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214318 Issued in VA
Practice address
4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613
Phone
(703) 292-4060
Fax
(703) 292-4066
NPI assigned
Nov 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 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 2305214318 VA Primary

Addresses

Primary practice location

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613

Mailing address

5813 Heming Ave
Springfield, VA 22151-2717
Phone (703) 717-8591

Other practice location 1

12825 Minnieville Rd
Suite 201
Woodbridge, VA 22192-3602
Phone (703) 647-3130

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

LicenseStateTypeSpecialty
2305214318VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1730844374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 HEMING AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512717",
            "telephone_number": "703-717-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 FAIRFAX DR STE 120",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031613",
            "telephone_number": "703-292-4060",
            "fax_number": "703-292-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12825 Minnieville Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221923602",
            "country_code": "US",
            "telephone_number": "703-647-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIROGA",
        "first_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.