Individual provider Active NPI

John T Salley, PT, DPT

  • Physical Therapist
  • Mannassas, VA
National Provider Identifier
1740725811
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209983 Issued in VA
Practice address
8644 Sudley Road
Suite 308
Mannassas, VA 20110
Phone
(703) 810-5303
NPI assigned
Dec 28, 2016
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 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 2305209983 VA Primary

Addresses

Primary practice location

8644 Sudley Road
Suite 308
Mannassas, VA 20110

Mailing address

PO Box 715868
Philadelphia, PA 19171
Phone (804) 915-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207001859 VA Practitioner - Physical Therapist in Private Practice 7113200692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

15195 Heathcote Blvd
Suite 334
Haymarket, VA 20169-6244
Phone (703) 369-9070

8644 Sudley Rd
Suite 308
Manassas, VA 20110-4425
Phone (703) 369-9070

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209983VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haymarket Physical Therapy LLC Physical Therapist CurrentSince Jan 10, 2017 Accepting new patients
Orthovirginia, Inc. CurrentSince May 9, 2023 Accepting new patients
Orthovirginia, Inc CurrentSince May 9, 2023 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients

Locations

10402 Bristow Center Dr
Bristow, VA 20136
Phone (703) 686-4010

14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155
Phone (703) 753-0261

8644 Sudley Rd
Ste 308
Manassas, VA 20110
Phone (571) 292-9910

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1740725811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19171",
            "telephone_number": "804-915-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY ROAD",
            "address_2": "SUITE 308",
            "city": "MANNASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-810-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.