Active NPI
Sheri Jean
- Physical Therapist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305213917
- Practice address
- 11800 Sunrise Valley Dr Ste 1
Reston, VA 20191-5302 - Phone
- (703) 709-1116
- NPI assigned
- May 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | 2305213917 | VA | Primary |
Addresses
Primary practice location
11800 Sunrise Valley Dr Ste 1
Reston, VA 20191-5302
Mailing address
1807 Key Blvd Apt 522
Arlington, VA 22201-3235
Other practice location 1
8101 Hinson Farm Rd Ste 401
Alexandria, VA 22306-3409
Phone (703) 664-7660
Other practice location 2
11800 Sunrise Valley Dr Ste 1
Reston, VA 20191-5302
Phone (703) 709-1116
Other practice location 3
4040 Fairfax Dr
Arlington, VA 22203-1613
Phone (703) 292-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11800 Sunrise Valley Dr
Suite 100
Reston, VA 20191-5309
Phone (703) 709-1116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305213917 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy PLLC | Current | Accepting new patients | |
| Virginia Therapy & Fitness Center | Current | Accepting new patients |
Locations
11800 Sunrise Valley Dr
Ste 100
Reston, VA 20191
Phone (703) 709-1116
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Arlington, VA
- NPI 1316792526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1962067041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 KEY BLVD APT 522",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222013235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR STE 1",
"city": "RESTON",
"state": "VA",
"postal_code": "201915302",
"telephone_number": "703-709-1116"
}
],
"practiceLocations": [
{
"address_1": "8101 Hinson Farm Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063409",
"country_code": "US",
"telephone_number": "703-664-7660",
"fax_number": "703-664-7663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11800 Sunrise Valley Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201915302",
"country_code": "US",
"telephone_number": "703-709-1116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4040 Fairfax Dr",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222031613",
"country_code": "US",
"telephone_number": "703-292-4060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN",
"first_name": "SHERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-05",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305213917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.