Individual provider Active NPI

Bonnie Marie Simpson, PTA

  • Physical Therapy Assistant
  • Herndon, VA
National Provider Identifier
1982853719
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306602588 Issued in VA
Practice address
2579 John Milton Dr
Suite 120
Herndon, VA 20171-2563
Phone
(703) 860-2346
Fax
(703) 860-2348
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306602588 VA Primary

Addresses

Primary practice location

2579 John Milton Dr
Suite 120
Herndon, VA 20171-2563

Mailing address

2579 John Milton Dr
Suite 120
Herndon, VA 20171-2563
Phone (703) 860-2346

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306602588VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strait Physical Therapy, LLC Physical Therapy Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1982853719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR",
            "address_2": "SUITE 120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712563",
            "telephone_number": "703-860-2346",
            "fax_number": "703-860-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR",
            "address_2": "SUITE 120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712563",
            "telephone_number": "703-860-2346",
            "fax_number": "703-860-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.