Individual provider Active NPI

Michael Villa, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1063967743
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210537 Issued in VA
Practice address
8270 Willow Oaks Corporate Dr Ste 700
Fairfax, VA 22031-4529
Phone
(703) 810-5218
Fax
(703) 810-5406
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 2305210537 VA Primary

Addresses

Primary practice location

8270 Willow Oaks Corporate Dr Ste 700
Fairfax, VA 22031-4529

Mailing address

PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvilla6994@direct.orthovirginia.com Other

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161107001440 VA Practitioner - Physical Therapist in Private Practice 9739467127 Reassigns benefits to 1 organization
I20190129003496 DC Practitioner - Physical Therapist in Private Practice 9739467127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia Inc 570 clinicians

Practice addresses (Care Compare)

6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210

8270 Willow Oaks Corp Dr
Suite 700
Fairfax, VA 22031-4529
Phone (703) 810-5228

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Orthovirginia, Inc CurrentSince Aug 29, 2016 Accepting new patients
Orthovirginia, Inc. CurrentSince Aug 29, 2016 Accepting new patients
Orthovirginia Inc. Current Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

8270 Willow Oaks Corporate Dr
Ste 700
Fairfax, VA 22031
Phone (703) 810-5218

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

7858 Shrader Rd
Richmond, VA 23294
Phone (804) 287-2780

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: mvilla6994@direct.orthovirginia.com

Organizations & group practices 5

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1063967743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR STE 700",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314529",
            "telephone_number": "703-810-5218",
            "fax_number": "703-810-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvilla6994@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Villa direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "7858 Shrader Rd",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232944222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.