Jennifer Marie Passino, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203253 Issued in VA

Practice address

10525 West Dr
Fairfax, VA 22030-4230

Phone

(703) 934-9411

Fax

(703) 934-9497

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Jennifer Marie Knight Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fairfax Physical Therapy, Incorporated

  • Orthopedic Physical Therapist
  • Fairfax, VA
  • NPI 1871716563
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1962467480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12552 SWEET LEAF TERRACE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332462",
            "telephone_number": "703-385-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 WEST DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304230",
            "telephone_number": "703-934-9411",
            "fax_number": "703-934-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSINO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G02052",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KNIGHT",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MS PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Williams Parsons, BS, MS, ANP-C
• Matthew A Partlow
• Cynthia Leigh Pascal, MS
• Barbara Ruth Pascoe, LPC
• Gabriela Pasquier
• Carol Ann Pastoric, MS CCC-SLP
• Gregory P Pate, LPC
• Dipti Patel-Donnelly, M.D.
• Sona Patel-Grimm, M.D.
• Akash Patel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.