Active NPI
Michael F Pickel, PT, DPT
- Physical Therapist
- MC Lean, VA
National Provider Identifier
1801518170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020047
- Practice address
- 8250 Greensboro Dr
MC Lean, VA 22102-4902 - Phone
- (703) 388-0288
- Fax
- (703) 388-0290
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020047 | VA | Primary |
Addresses
Primary practice location
8250 Greensboro Dr
MC Lean, VA 22102-4902
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 388-0288
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 |
|---|---|---|---|
| PT020047 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
| Ptformance | Physical Therapist | Past | Accepting new patients |
Locations
43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920
12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033
8250 Greensboro Dr
McLean, VA 22102
Phone (703) 388-0288
119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181
Organizations & group practices 3
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 Therapist
- Centreville, VA
- NPI 1639594831
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
-
- Physical Therapist
- Austin, TX
- NPI 1336913797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1801518170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "703-388-0288",
"fax_number": "703-388-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 GREENSBORO DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024902",
"telephone_number": "703-388-0288",
"fax_number": "703-388-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKEL",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "PT020047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.