Organization Active NPI

Tripps Court Associates

  • Clinic/Center
  • MC Lean, VA
National Provider Identifier
1942750864
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2 Issued in VA
Legal business name
TRIPPS COURT ASSOCIATES
Practice address
1884 Virginia Ave
MC Lean, VA 22101-4934
Phone
(703) 534-1352
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Amy G Pedulla, DPTNPI 1396295119
Title
Physical Therapist
Phone
(703) 534-1352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2 VA Primary

Addresses

Primary practice location

1884 Virginia Ave
MC Lean, VA 22101-4934

Mailing address

1884 Virginia Ave
MC Lean, VA 22101-4934
Phone (703) 534-1352

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942750864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 VIRGINIA AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014934",
            "telephone_number": "703-534-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 VIRGINIA AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014934",
            "telephone_number": "703-534-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPPS COURT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PEDULLA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-534-1352",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.