Active NPI
Thomas Mark Papke, P.T.
- Contractor
- Alexandria, VA
National Provider Identifier
1962436048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 6299
- Practice address
- 500 Montgomery St
Suite 400
Alexandria, VA 22314-1565 - Phone
- (540) 675-3090
- Fax
- (540) 675-3058
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 6299 | VA | Primary |
Addresses
Primary practice location
500 Montgomery St
Suite 400
Alexandria, VA 22314-1565
Mailing address
1316 New Hampshire Ave NW
Apt. 402
Washington, DC 20036-6351
Phone (202) 744-7811
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299 | VA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1962436048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 NEW HAMPSHIRE AVE NW",
"address_2": "APT. 402",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200366351",
"telephone_number": "202-744-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MONTGOMERY ST",
"address_2": "SUITE 400",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141565",
"telephone_number": "540-675-3090",
"fax_number": "540-675-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPKE",
"first_name": "THOMAS",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": "VA",
"license": "6299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.