Individual provider Active NPI

Megan Pezzino

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1801214036
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208568 Issued in VA
Practice address
510 W Annandale Rd
Falls Church, VA 22046-4226
Phone
(703) 237-3930
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208568 VA Primary
Physical Therapist 225100000X 8623 CT

Addresses

Primary practice location

510 W Annandale Rd
Falls Church, VA 22046-4226

Mailing address

501 Roosevelt Blvd
D122
Falls Church, VA 22044-3114
Phone (203) 231-5417

Other names 1

  • Miss Megan Jurkowski Former name

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
8623CTMDPharmacist
2305208568VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movementx, Inc. Physical Therapist Current Accepting new patients
Regenerative Orthopedics and Sports Medicine, LLC PastSince Mar 14, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1801214036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROOSEVELT BLVD",
            "address_2": "D122",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443114",
            "telephone_number": "203-231-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-237-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZINO",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208568",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "JURKOWSKI",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.