Individual provider Active NPI

Zainab M Rasool, DPT

  • Physical Therapist
  • Chantilly, VA
National Provider Identifier
1063875631
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209835 Issued in VA
Practice address
24801 Pinebrook Rd Ste 120
Chantilly, VA 20152-4113
Phone
(703) 722-2525
NPI assigned
Mar 31, 2016
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209835 VA Primary

Addresses

Primary practice location

24801 Pinebrook Rd Ste 120
Chantilly, VA 20152-4113

Mailing address

14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155-4025
Phone (703) 753-0261

Other practice location 1

15031 Jaxton Square Ln
Haymarket, VA 20169-3023
Phone (703) 869-9920

Other names 1

  • Zainab F Mithaiwala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211216000889 VA Practitioner - Physical Therapist in Private Practice 2062803547 Reassigns benefits to 1 organization
I20230207000014 DC Practitioner - Physical Therapist in Private Practice 2062803547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209835VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haymarket Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Orthocare Physical Therapy Center, LLC Physical Therapist CurrentSince Dec 16, 2022 Accepting new patients
Inova Health Care Services Past Accepting new patients

Locations

13135 Route 50
Ste 320
Fairfax, VA 22033
Phone (703) 310-7610

14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155
Phone (703) 753-0261

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1063875631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "STE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554025",
            "telephone_number": "703-753-0261",
            "fax_number": "703-743-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 PINEBROOK RD STE 120",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524113",
            "telephone_number": "703-722-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15031 Jaxton Square Ln",
            "address_purpose": "LOCATION",
            "city": "Haymarket",
            "state": "VA",
            "postal_code": "201693023",
            "country_code": "US",
            "telephone_number": "703-869-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "ZAINAB",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAINAB",
            "last_name": "MITHAIWALA",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.