Active NPI
Ribca Bissrat Mersha
- Physical Therapist
- Burke, VA
National Provider Identifier
1750415642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004604
- Practice address
- 9642 Burke Lake Rd
Burke, VA 22015-3024 - Phone
- (703) 425-1698
- Fax
- (703) 425-1311
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2305004604 | VA | Primary |
Addresses
Primary practice location
9642 Burke Lake Rd
Burke, VA 22015-3024
Mailing address
5012 Gainsborough Dr
Fairfax, VA 22032-2319
Phone (703) 323-1370
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 |
|---|---|---|---|
| 2305004604 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750415642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 GAINSBOROUGH DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322319",
"telephone_number": "703-323-1370",
"fax_number": "703-250-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9642 BURKE LAKE RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220153024",
"telephone_number": "703-425-1698",
"fax_number": "703-425-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERSHA",
"first_name": "RIBCA",
"middle_name": "BISSRAT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
- Medical Durable Equipment
- Medical Facilities of America Xxix (Burke Health & Rehabilitation Center)
- Medstar Homecare Services LLC
- Jeffrey Earl Menges, PHYSICAL THERAPIST
- Meraki Wellness LLC (Jennifer Howard LLC)
- Amber Meyer, PMHNP
- Joel I Miller, D.P.M.
- Jennifer Susan Milton, NMT
- Jessica Minionis
- Kara Brostrom Minnich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.