NPIMap

Organization Active NPI

Ace Physical Therapy & Sports Medicine Institute, LLC

  • Physical Therapist
  • Leesburg, VA
National Provider Identifier
1891044129
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
B205939 Issued in VA
Legal business name
ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC
Practice address
19465 Deerfield Ave Ste 311
Leesburg, VA 20176-1706
Phone
(703) 205-1233
Fax
(703) 641-0189
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Michael A Ercole, MSPT, CSCS, CSFA
Title
Institute Director
Phone
(703) 205-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X B205939 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave Ste 311
Leesburg, VA 20176-1706

Mailing address

2841 Hartland Rd Ste 401B
Falls Church, VA 22043-3500
Phone (703) 205-1233

National Provider Directory

National Provider Directory
Tax ID family
Ace Physical Therapy Sport9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1891044129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD STE 401B",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-205-1233",
            "fax_number": "703-641-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 311",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761706",
            "telephone_number": "703-205-1233",
            "fax_number": "703-641-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "ERCOLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSTITUTE DIRECTOR",
        "authorized_official_telephone_number": "703-205-1233",
        "authorized_official_credential": "MSPT, CSCS, CSFA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "B205939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.