ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC (NPI# 1780933028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780933028 |
| Entity Type | Organization |
| Organization Name | ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC |
| Practice Address |
12011 Lee Jackson Memorial Hwy Ste 101 Fairfax VA 22033-3310 |
| Mailing Address |
2841 Hartland Rd Ste 401b Falls Church VA 22043-3500 |
| Practice Telephone | 7032051233 |
| Practice Fax Number | 7036410189 |
| Mailing Telephone | 7032051233 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | MICHAEL A ERCOLE (INSTITUTE DIRECTOR) |
| Authorized Official Telephone | 7032051233 |
| Authorized Official Credential | MSPT, CSCS, CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0856150 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555150 | Ace Physical Therapy & Sports Medicine Institute, LLC | Clinic/Center | 5860 Columbia Pike Ste 104, Baileys Crossroads, VA 22041-2038 | 2019-12-19 |
| 1003368663 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 10123 Colvin Run Rd, Great Falls, VA 22066-1873 | 2016-10-31 |
| 1215351242 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 1701 Clarendon Blvd Ste 110, Arlington, VA 22209-2700 | 2014-02-11 |
| 1891044129 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 19465 Deerfield Ave Ste 311, Leesburg, VA 20176-1706 | 2012-08-31 |
| 1689952640 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 8230 Boone Blvd Ste 202, Vienna, VA 22182-2647 | 2011-07-25 |
| 1588960249 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 131 Elden St Ste 308, Herndon, VA 20170-4851 | 2011-01-28 |
| 1821033564 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 108 Elden St., Suite 12, Herndon, VA 20170-4876 | 2006-06-17 |
| 1609125939 | Ace Physical Therapy & Sports Medicine Institute, LLC | Clinic/Center | 2875 Duke St, Alexandria, VA 22314-4512 | 2012-08-31 |
| 1861591281 | Ace Physical Therapy & Sports Medicine Institute, LLC | Clinic/Center | 2841 Hartland Rd Ste 401b, Falls Church, VA 22043-3500 | 2006-09-22 |
| Street Address |
12011 LEE JACKSON MEMORIAL HWY STE 101 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982019717 | Advanced Medical and Professional Solutions, Inc. | Physical Therapist | 12011 Lee Jackson Memorial Hwy Ste 101, Fairfax, VA 22033-3310 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753811 | Resurgent Sports Rehab LLC | Clinic/Center | 8500 Executive Park Ave Ste 100, Fairfax, VA 22031-2228 | 2019-07-29 |
| 1114468188 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8613 Lee Hwy, Suite 110, Fairfax, VA 22031-2171 | 2017-03-10 |
| 1235558347 | Dynamic Rehab Inc | Clinic/Center | 8316 Arlington Blvd Ste 520, Fairfax, VA 22031-5216 | 2014-04-16 |
| 1255771515 | Hamid Espandyari | Clinic/Center | 8316 Arlington Blvd #520, Fairfax, VA 22031 | 2013-07-01 |
| 1649305277 | Applied Physical Therapy, Inc | Clinic/Center | 10373a Democracy Ln, Fairfax, VA 22030-2505 | 2007-02-23 |
| 1104461441 | Primus Physical Therapy Fairfax | Clinic/Center | 3025 Hamaker Ct Ste 103, Fairfax, VA 22031-2221 | 2019-11-11 |
| 1437689932 | Eastern Cranial Affiliates, LLC | Clinic/Center | 10523 Main St, Fairfax, VA 22030-3310 | 2017-06-16 |
| 1982097465 | Proactive Physical Therapy and Wellness LLC | Clinic/Center | 3903 Fair Ridge Dr, 211, Fairfax, VA 22033-2943 | 2015-03-09 |
| 1609211036 | Fitness and Rehabilitation, Inc. | Clinic/Center | 10400 Eaton Pl, Suite 312, Fairfax, VA 22030-2208 | 2013-04-29 |
| 1336366079 | The Temple Foundation Inc | Clinic/Center | 9229 Arlington Blvd, Fairfax, VA 22031-2504 | 2007-04-20 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC.
| 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.