NPIMap

Organization Active NPI

The Medical Team, Inc

  • Home Health Agency
  • Reston, VA
National Provider Identifier
1790732667
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE MEDICAL TEAM, INC
Practice address
1896 Preston White Dr
Reston, VA 20191-4325
Phone
(703) 390-2300
Fax
(703) 390-5819
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Ryan Grisard
Title
Vice President / Cfo
Phone
(703) 390-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1896 Preston White Dr
Reston, VA 20191-4325

Mailing address

1896 Preston White Dr
Reston, VA 20191-4325
Phone (703) 390-2300

Other identifiers 1

IdentifierTypeStateIssuer
004970331MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000521 VA Part A Provider - Home Health Agency 9638089972 Practice locations: Reston, VA

Home health agency certification: CCN 497033

Legal name
THE MEDICAL TEAM, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 27, 1985
Last certification
Dec 4, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 2, 1983 in VA
Enrollment address
1896 Preston White Dr
Reston, VA 20191-4325
HHA Branch

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
The Medical Team IncCCN 497033
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 27, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1902 Campus Commons Dr
Ste 650
Reston, VA 20191
Phone (703) 290-2300

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nicolas Tzirimis Individual Corporate OfficerVice President Jun 2, 1983
Leslie Pembrook Individual 5% Or Greater Direct Ownership Interest Sep 26, 1985 100%
Corporate OfficerPresident Jun 2, 1983 40%
Vickie L Harrison Individual W-2 Managing EmployeeAd; Nov 1, 2025 10%
Wendy Marie Arnold Individual W-2 Managing EmployeeAlternate Administrator Nov 1, 2025 10%
Ryan Grisard Individual Corporate DirectorCfo Oct 1, 2014 20%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Medical Team, Inc.Flint, MI, CCN 231631 Hospice Operational/Managerial Control (100%) Apr 17, 2014
The Medical Team, Inc.Grand Rapids, MI, CCN 231656 Hospice Operational/Managerial Control (100%) Jun 2, 1983
The Medical Team, Inc.Reston, VA, CCN 491623 Hospice Operational/Managerial Control (100%) Jun 2, 1983
The Medical Team, Inc.San Antonio, TX, CCN 741714 Hospice Operational/Managerial Control Jun 2, 1983

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1790732667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 PRESTON WHITE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914325",
            "telephone_number": "703-390-2300",
            "fax_number": "703-390-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 PRESTON WHITE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914325",
            "telephone_number": "703-390-2300",
            "fax_number": "703-390-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "GRISARD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "703-390-2321"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004970331",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.