Active NPI
Ellen Therese Egerton, PT
- Specialist
- Leesburg, VA
National Provider Identifier
1780604892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2305002834
- Practice address
- 906 Trailview Blvd SE
Leesburg, VA 20175-4415 - Phone
- (703) 777-0528
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2305002834 | VA | Primary |
Addresses
Primary practice location
906 Trailview Blvd SE
Leesburg, VA 20175-4415
Mailing address
4321 Donna Marie CT
Haymarket, VA 20169-1746
Phone (703) 777-0528
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 |
|---|---|---|---|
| 2305002834 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJS LLC | Current | Accepting new patients |
Locations
105 Coastal Ln
Chesapeake, VA 23320
Phone (757) 381-3861
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foot Solutions
- Durable Medical Equipment & Medical Supplies
- Chesapeake, VA
- NPI 1104928316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780604892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 DONNA MARIE CT",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201691746",
"telephone_number": "703-777-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 TRAILVIEW BLVD SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754415",
"telephone_number": "703-777-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGERTON",
"first_name": "ELLEN",
"middle_name": "THERESE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "2305002834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
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.