NPIMap

Individual provider Active NPI

Sarah Elisabeth McCloskey, PT

  • Physical Therapist
  • Springfield, VA
National Provider Identifier
1770953192
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214299 Issued in VA
Practice address
6805 Industrial Rd
Springfield, VA 22151-4206
Phone
(703) 256-2171
Fax
(703) 254-2171
NPI assigned
Sep 28, 2015
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 2305214299 VA Primary

Addresses

Primary practice location

6805 Industrial Rd
Springfield, VA 22151-4206

Mailing address

6805 Industrial Rd
Springfield, VA 22151-4206
Phone (817) 999-1500

Other identifiers 1

IdentifierTypeStateIssuer
192079501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address h.cook@itcmgt.net

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214299VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC PastSince Dec 24, 2023 Accepting new patients
Wedgwood Eyecare PC PastSince Mar 27, 2020 Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1770953192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 INDUSTRIAL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514206",
            "telephone_number": "817-999-1500",
            "fax_number": "703-256-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 INDUSTRIAL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514206",
            "telephone_number": "703-256-2171",
            "fax_number": "703-254-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "SARAH",
        "middle_name": "ELISABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192079501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "h.cook@itcmgt.net",
            "affiliation": "N",
            "address_1": "9301 N Central Expy Ste 400",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752310805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.