Individual provider Active NPI

Verioska Jaatsy Tominack, PTA

  • Physical Therapy Assistant
  • Leonardtown, MD
National Provider Identifier
1760158356
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A5417 Issued in MD
Practice address
23511 Hollywood Rd
Leonardtown, MD 20650-5921
Phone
(240) 577-6433
Fax
(240) 577-6432
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A5417 MD Primary

Addresses

Primary practice location

23511 Hollywood Rd
Leonardtown, MD 20650-5921

Mailing address

26130 Clarkes Village LN
Mechanicsville, MD 20659-3886

Other names 1

  • Ms. Verioska Jaatsy Torres Former name

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
A5417MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtuous Wellness Center Physical Therapy Assistant CurrentSince Aug 29, 2021 Accepting new patients
Virtuous Wellness Center PastSince Aug 29, 2021 Accepting new patients

Locations

273 Peninsula Farm Rd
Ste C
Arnold, MD 21012
Phone (410) 975-5343

273 Peninsula Farm Rd
Ste Bc
Arnold, MD 21012
Phone (410) 975-5343

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1760158356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26130 CLARKES VILLAGE LN",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206593886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505921",
            "telephone_number": "240-577-6433",
            "fax_number": "240-577-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMINACK",
        "first_name": "VERIOSKA",
        "middle_name": "JAATSY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERIOSKA",
            "last_name": "TORRES",
            "middle_name": "JAATSY",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.