Active NPI
Secili H Destefano, PT, OCS
- Physical Therapist
- Sterling, VA
National Provider Identifier
1982777157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305202854
- Practice address
- 45945 Center Oak PLZ
Suite 150
Sterling, VA 20166-6572 - Phone
- (703) 406-0296
- Fax
- (703) 406-0118
- NPI assigned
- Nov 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305202854 | VA | Primary |
Addresses
Primary practice location
45945 Center Oak PLZ
Suite 150
Sterling, VA 20166-6572
Mailing address
45945 Center Oak PLZ
Suite 150
Sterling, VA 20166-6572
Phone (703) 406-0296
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
950 Herndon Pkwy
Suite 425
Herndon, VA 20170-5537
Phone (703) 665-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Motion LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
950 Herndon Pkwy
Ste 425
Herndon, VA 20170
Phone (703) 249-9192
Organizations & group practices 3
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
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982777157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45945 CENTER OAK PLZ",
"address_2": "SUITE 150",
"city": "STERLING",
"state": "VA",
"postal_code": "201666572",
"telephone_number": "703-406-0296",
"fax_number": "703-406-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45945 CENTER OAK PLZ",
"address_2": "SUITE 150",
"city": "STERLING",
"state": "VA",
"postal_code": "201666572",
"telephone_number": "703-406-0296",
"fax_number": "703-406-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTEFANO",
"first_name": "SECILI",
"middle_name": "H",
"credential": "PT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305202854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.