Individual provider Active NPI

Michael F Pickel, PT, DPT

  • Physical Therapist
  • MC Lean, VA
National Provider Identifier
1801518170
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020047 Issued in VA
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

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT020047VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Sep 16, 2022 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.

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.

Verify at the official NPI Registry.