LOUDOUN MEDICAL GROUP PC (NPI# 1215358155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215358155 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | ADVANCED SPINE AND SPORTS THERAPY |
| Practice Address |
19465 Deerfield Ave Suite 207 Leesburg VA 20176-1701 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037236774 |
| Practice Fax Number | 7037231494 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376010 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced Spine and Sports Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1841658499 | Loudoun Medical Group PC | Internal Medicine | 10200 Colvin Run Rd, Suite 326, Great Falls, VA 22066-1830 | 2016-02-10 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1285021345 | Loudoun Medical Group PC | Ophthalmology | 8751 Sudley Rd, 2nd Floor, Manassas, VA 20110-8319 | 2015-04-16 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| Street Address |
19465 DEERFIELD AVE SUITE 207 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830179 | Virginia Marie Hackenberg | Obstetrics & Gynecology | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2005-09-07 |
| 1255787099 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2016-05-11 |
| 1164809414 | Loudoun Medical Group PC | Allergy & Immunology | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2015-05-06 |
| 1467873067 | Kimberly Anne Gregory | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-27 |
| 1083035893 | Heather K Swartz | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-20 |
| 1578803490 | Sara R Scott | Physical Therapist | 19465 Deerfield Ave, Leesburg, VA 20176-1701 | 2013-03-01 |
| 1801136635 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 309, Leesburg, VA 20176-1701 | 2013-02-14 |
| 1922347236 | Vishakha Nabar | Physical Therapist | 19465 Deerfield Ave, Suite 208, Leesburg, VA 20176-1701 | 2013-02-06 |
| 1346529773 | Natalie Buller Miller | Speech-Language Pathologist | 19465 Deerfield Ave, #201, Leesburg, VA 20176-1701 | 2011-08-16 |
| 1134427453 | Orthopaedic & Spine Surgery Institute Pllc | Orthopaedic Surgery | 19465 Deerfield Ave, Suite 207 & 307, Leesburg, VA 20176-1701 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140749 | Michael Sevilla | Physical Therapist | 137 Meadowview Ct, Leesburg, GA 31763-8204 | 2020-10-07 |
| 1962041160 | Grace Sophia Pakkianathan | Physical Therapist | 40617 Woodside Pl, Leesburg, VA 20175-8837 | 2020-01-06 |
| 1588214308 | Lyndsey Marie Mcintyre | Physical Therapist | 30 Catoctin Cir Se Ste 112, Leesburg, VA 20175-3614 | 2019-09-13 |
| 1437717733 | Irene Lindquist | Physical Therapist | 19385 Cypress Ridge Ter Unit 201, Leesburg, VA 20176-5163 | 2019-05-31 |
| 1114433307 | Quang That Ton | Physical Therapist | 540 Fort Evans Rd Ste 206, Leesburg, VA 20176-3379 | 2017-12-25 |
| 1992108542 | Maria Ceballos | Physical Therapist | 600 North Boulevard, W. Suite D, Leesburg, FL 34748 | 2014-09-26 |
| 1073935870 | Travis Ammons | Physical Therapist | 210 S Lake St, Leesburg, FL 34748 | 2014-01-13 |
| 1164862900 | Janessa Mangulabnan | Physical Therapist | 26803 White Plains Way, Leesburg, FL 34748-1302 | 2013-06-25 |
| 1891044129 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 19465 Deerfield Ave Ste 311, Leesburg, VA 20176-1706 | 2012-08-31 |
| 1336400886 | Bobby Korez Zachariah | Physical Therapist | 315 Dry Mill Rd Sw, Leesburg, VA 20175-2601 | 2012-05-31 |
| Find all providers in LEESBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.