Individual provider Active NPI

Ian Andrew Peuterbaugh, DPT

  • Physical Therapist
  • Front Royal, VA
National Provider Identifier
1043965098
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30357 Issued in MD
Practice address
101 W 14TH St
Front Royal, VA 22630-3607
Phone
(540) 636-3500
NPI assigned
Feb 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214832 VA
Physical Therapist 225100000X 30357 MD Primary

Addresses

Primary practice location

101 W 14TH St
Front Royal, VA 22630-3607

Mailing address

9127 Panther Falls Way
Bristow, VA 20136-6109
Phone (703) 853-8133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220422002330 VA Practitioner - Physical Therapist in Private Practice 4587051479 Reassigns benefits to 3 organizations
I20250523000009 MD Practitioner - Physical Therapist in Private Practice 4587051479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy of Maryland LLCGroup PAC ID 3173746609, 31 clinicians

Practice addresses (Care Compare)

580 Cranbrook Rd
Cockeysville, MD 21030-3702
Phone (443) 578-3988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist PastSince Mar 3, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

998 Hospitality Way
Ste 101
Aberdeen, MD 21001
Phone (410) 273-9776

580 Cranbrook Rd
Cockeysville, MD 21030
Phone (443) 578-3988

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

101 W 14th St
Front Royal, VA 22630
Phone (540) 636-3500

14370 Lee Hwy
Ste 104
Gainesville, VA 20155
Phone (703) 754-4450

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

1808 Plaza Dr
Winchester, VA 22601
Phone (540) 665-2750

Organizations & group practices 8

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1043965098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 PANTHER FALLS WAY",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201366109",
            "telephone_number": "703-853-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 14TH ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303607",
            "telephone_number": "540-636-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEUTERBAUGH",
        "first_name": "IAN",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214832",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.

Verify at the official NPI Registry.