Individual provider Active NPI

Mourad El Mawan, DPT

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1073487849
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217430 Issued in VA
Practice address
14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone
(703) 490-1112
Fax
(703) 878-8732
NPI assigned
Oct 3, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 2305217430 VA Primary

Addresses

Primary practice location

14348 Gideon Dr
Woodbridge, VA 22192-4640

Mailing address

14348 Gideon Dr
Woodbridge, VA 22192-4640

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251210001826 VA Practitioner - Physical Therapist in Private Practice 5597259267 Reassigns benefits to 2 organizations
I20260109001220 DC Practitioner - Physical Therapist in Private Practice 5597259267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone (703) 490-1112

3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305217430VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 12, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 12, 2025 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 16, 2025 Accepting new patients
Centers for Advanced Orthopaedics LLC Current Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

14348 Gideon Dr
Woodbridge, VA 22192
Phone (703) 490-1112

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

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, 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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1073487849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14348 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14348 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MAWAN",
        "first_name": "MOURAD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.