Individual provider Active NPI

Jill Pace, DPT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1952770901
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209624 Issued in VA
Practice address
4700 King St Ste 200
Alexandria, VA 22302-4420
Phone
(571) 665-6560
Fax
(571) 665-6561
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209624 VA Primary

Addresses

Primary practice location

4700 King St Ste 200
Alexandria, VA 22302-4420

Mailing address

4700 King St Ste 200
Alexandria, VA 22302-4420
Phone (571) 665-6560

Other practice location 1

14605 Potomac Branch Dr
Suite 200
Woodbridge, VA 22191-3336
Phone (703) 776-4001

Other names 1

  • Jill Bialzak Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305209624VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1952770901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 KING ST STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024420",
            "telephone_number": "571-665-6560",
            "fax_number": "571-665-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 KING ST STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024420",
            "telephone_number": "571-665-6560",
            "fax_number": "571-665-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14605 Potomac Branch Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913336",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "JILL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BIALZAK",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 6, 2020; 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.