Individual provider Active NPI

Carlo Tirso

  • Physical Therapist
  • Burke, VA
National Provider Identifier
1841805942
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213664 Issued in VA
Practice address
6035 Burke Centre Pkwy Ste 300
Burke, VA 22015-3750
Phone
(703) 978-3300
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 2305213664 VA Primary

Addresses

Primary practice location

6035 Burke Centre Pkwy Ste 300
Burke, VA 22015-3750

Mailing address

3502 Queen Anne Dr
Fairfax, VA 22030-1831
Phone (703) 402-0816

Other identifiers 1

IdentifierTypeStateIssuer
2305213664OtherVAVIRGINIA DEPARTMENT OF HEALTH/ PHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810000206 VA Practitioner - Physical Therapist in Private Practice 6800279704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

7858 Shrader Rd
Richmond, VA 23294-4222
Phone (804) 270-1305

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213664VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. Multi-Specialty CurrentSince Aug 8, 2022 Accepting new patients
Orthovirginia, Inc Multi-Specialty CurrentSince Aug 8, 2022 Accepting new patients
Orthovirginia Inc Multi-Specialty Current Accepting new patients
Alexandria Sports, Inc. PastSince Sep 20, 2020 Accepting new patients
Alexandria Sports, Inc. Multi-Specialty PastSince Sep 20, 2020 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

7858 Shrader Rd
Richmond, VA 23294
Phone (804) 287-2780

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1841805942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 QUEEN ANNE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301831",
            "telephone_number": "703-402-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY STE 300",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-978-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRSO",
        "first_name": "CARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH/ PHYSICAL THERAPY LICENSE",
            "identifier": "2305213664",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.