Individual provider Active NPI

William Ryan Herr, DPT

  • Physical Therapist
  • MC Lean, VA
National Provider Identifier
1831610567
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211088 Issued in VA
Practice address
8250 Greensboro Dr
MC Lean, VA 22102-4902
Phone
(703) 388-0288
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 2305211088 VA Primary

Addresses

Primary practice location

8250 Greensboro Dr
MC Lean, VA 22102-4902

Mailing address

8250 Greensboro Dr
MC Lean, VA 22102-4902
Phone (703) 388-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170824000085 DC Practitioner - Physical Therapist in Private Practice 2365714417 Reassigns benefits to 2 organizations
I20170913000996 VA Practitioner - Physical Therapist in Private Practice 2365714417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175

5109 Arrowbrook CT
Glen Allen, VA 23060-2876
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305211088VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jun 12, 2017 Accepting new patients

Locations

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

8250 Greensboro Dr
McLean, VA 22102
Phone (703) 388-0288

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831610567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024902",
            "telephone_number": "703-388-0288"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "WILLIAM",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211088",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.