Active NPI
Lois Blush
- Orthopedic Physical Therapist
- Reston, VA
National Provider Identifier
1881986867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305005511
- Practice address
- 12310 Pinecrest Rd
Reston, VA 20191-1653 - Phone
- (703) 490-3389
- Fax
- (703) 490-3390
- NPI assigned
- May 9, 2011
- Last updated
- May 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305005511 | VA | Primary |
Addresses
Primary practice location
12310 Pinecrest Rd
Reston, VA 20191-1653
Mailing address
1103 Grand Hamptons Dr
Herndon, VA 20170-2357
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1881986867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 GRAND HAMPTONS DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12310 PINECREST RD",
"city": "RESTON",
"state": "VA",
"postal_code": "201911653",
"telephone_number": "703-490-3389",
"fax_number": "703-490-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUSH",
"first_name": "LOIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305005511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.