Active NPI
Jean Rose Guthrie, PT, DPT
- Physical Therapist
- Lorton, VA
National Provider Identifier
1780183608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211748
- Practice address
- 9447 Lorton Market St Ste 250
Lorton, VA 22079-1963 - Phone
- (703) 372-5716
- NPI assigned
- Feb 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1301078 | TX | |
| Physical Therapist | 225100000X | 2305211748 | VA | Primary |
Addresses
Primary practice location
9447 Lorton Market St Ste 250
Lorton, VA 22079-1963
Mailing address
9447 Lorton Market St Ste 250
Lorton, VA 22079-1963
Other practice location 1
5695 King Centre Dr Ste 102
Alexandria, VA 22315-5746
Phone (703) 924-2650
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1301078 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Your Way PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Lorton, VA
- NPI 1245741024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780183608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9447 LORTON MARKET ST STE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9447 LORTON MARKET ST STE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963",
"telephone_number": "703-372-5716"
}
],
"practiceLocations": [
{
"address_1": "5695 King Centre Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223155746",
"country_code": "US",
"telephone_number": "703-924-2650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "JEAN",
"middle_name": "ROSE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1301078",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.