Grace Sophia Pakkianathan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005578 Issued in VA

Practice address

40617 Woodside PL
Leesburg, VA 20175-8837

Phone

(301) 404-8697

NPI assigned

Jan 6, 2020

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PT Joint

  • Orthopedic Physical Therapist
  • Purcellville, VA
  • NPI 1033879705
  Medicare reassignment NPD

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1962041160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40617 WOODSIDE PL",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758837",
            "telephone_number": "301-404-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40617 WOODSIDE PL",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758837",
            "telephone_number": "301-404-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKKIANATHAN",
        "first_name": "GRACE",
        "middle_name": "SOPHIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "2305005578",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "software via WebPT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40617 Woodside Pl",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201758837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alana Concietta Padilla, PSY.D.
• Page Moss Fletcher MD PC
• John Joseph Pahira, MD
• Paju Health Care Services LLC
• Esther Pak
• Benjamin Joseph Palachick, M.D.
• Vandana Palagiri, M.D
• Melissa Palmer, PHARMD
• Palmercare Chiropractic Leesburg Inc
• Tayyab I Paracha, M.D

• Physical Therapist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.