Individual provider Active NPI

Nancy M. Brown, PT, SCS, ATC

  • Sports Physical Therapist
  • Washington, DC
National Provider Identifier
1942272166
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT005956L Issued in PA
Practice address
Dilorenzo Tricare Health Clinic
Ciorridor 8, RM Mg914/918 5801 Army Pentagon
Washington, DC 20310-0001
Phone
(703) 692-8981
Fax
(703) 692-0941
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Sports Physical Therapist 2251S0007X PT005956L PA Primary

Addresses

Primary practice location

Dilorenzo Tricare Health Clinic
Ciorridor 8, RM Mg914/918 5801 Army Pentagon
Washington, DC 20310-0001

Mailing address

5801 Army Pentagon
Washington, DC 20310-5801
Phone (703) 614-6334

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220711000486 DC Practitioner - Physical Therapist in Private Practice 1658751474 Reassigns benefits to 1 organization
I20240617003541 VA Practitioner - Physical Therapist in Private Practice 1658751474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Hahnemann University College of Medicine, 1986
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
PT005956LPAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 21, 2022 Accepting new patients

Locations

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

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

Organizations & group practices 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1942272166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ARMY PENTAGON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203105801",
            "telephone_number": "703-614-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DILORENZO TRICARE HEALTH CLINIC",
            "address_2": "CIORRIDOR 8, RM MG914/918 5801 ARMY PENTAGON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203100001",
            "telephone_number": "703-692-8981",
            "fax_number": "703-692-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NANCY",
        "middle_name": "M.",
        "credential": "PT, SCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT005956L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.