Andre B Heletsi, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305204989 Issued in VA

Practice address

44933 George Washington Blvd
Suite 165
Ashburn, VA 20147-6300

Phone

(703) 989-3449

Fax

(703) 865-7918

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1780898023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 BATTENBURG LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306269",
            "telephone_number": "703-989-3449",
            "fax_number": "703-865-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44933 GEORGE WASHINGTON BLVD",
            "address_2": "SUITE 165",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476300",
            "telephone_number": "703-989-3449",
            "fax_number": "703-865-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELETSI",
        "first_name": "ANDRE",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305204989",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.