Individual provider Active NPI

Tieya M Qualls, PT, DPT, PRPC

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1851590202
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213523 Issued in VA
Practice address
113 Oronoco Street
Alexandria, VA 22314-2091
Phone
(301) 246-2353
Fax
(240) 241-6412
NPI assigned
Jul 16, 2007
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Physical Therapist 225100000X 2305213523 VA Primary
Physical Therapist 225100000X PT870745 DC
Physical Therapist 225100000X 21779 MD

Addresses

Primary practice location

113 Oronoco Street
Alexandria, VA 22314-2091

Mailing address

14605 Elm St
Unit 1821
Upper Marlboro, MD 20773-7567
Phone (301) 246-2353

Other practice location 1

3206 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4253
Phone (301) 246-2353

Other practice location 2

4520 Sherborn LN
Upper Marlboro, MD 20772-6978
Phone (301) 246-2353

Other identifiers 2

IdentifierTypeStateIssuer
4695-0031OtherCAREFIRST OF NCA
927841-02OtherCAREFIRST OF MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150609000184 MD Practitioner - Physical Therapist in Private Practice 9830410455 Reassigns benefits to 1 organization
I20150609000279 DC Practitioner - Physical Therapist in Private Practice 9830410455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650

4520 Sherborn LN
Upper Marlboro, MD 20772-6978
Phone (301) 246-2353

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT870745DCMDPhysical Therapist
21779MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Quality Touch Physical Therapy & Wellness Doula CurrentSince Jan 1, 2022 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jan 31, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients

Locations

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

3206 Tower Oaks Blvd
Ste 200
Rockville, MD 20852
Phone (301) 246-2353

14605 Elm St
Unit 1821
Upper Marlboro, MD 20773

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

105 Oronoco St
Ste 117
Alexandria, VA 22314

113 Oronoco St
Alexandria, VA 22314
Phone (301) 246-2353

9211 Forest Hill Ave
Ste 200
Richmond, VA 23235
Phone (720) 649-5775

Organizations & group practices 6

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1851590202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 ELM ST",
            "address_2": "UNIT 1821",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207737567",
            "telephone_number": "301-246-2353",
            "fax_number": "240-241-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ORONOCO STREET",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142091",
            "telephone_number": "301-246-2353",
            "fax_number": "240-241-6412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3206 Tower Oaks Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524253",
            "country_code": "US",
            "telephone_number": "301-246-2353",
            "fax_number": "240-241-6412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 SHERBORN LN",
            "address_purpose": "LOCATION",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726978",
            "country_code": "US",
            "telephone_number": "301-246-2353",
            "fax_number": "240-241-6412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "TIEYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PRPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213523",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870745",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF NCA",
            "identifier": "4695-0031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "927841-02",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.