Phillip Munck, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217594 Issued in VA

Practice address

5900 Fort Dr Ste 208
Centreville, VA 20121-2425

Phone

(703) 830-6360

Fax

(703) 830-6362

NPI assigned

Mar 26, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jackson Clinics Limited Partnership

  • Physical Therapist
  • Centreville, VA
  • NPI 1639594831

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1083553937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 FAIR LAKES CIR STE 102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334913",
            "telephone_number": "703-830-6360",
            "fax_number": "703-830-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FORT DR STE 208",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "703-830-6360",
            "fax_number": "703-830-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCK",
        "first_name": "PHILLIP",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omaid Momand
• Kathleen Brady Moore, OD
• Diego A Morales, D.D.S.
• James Moshier, DMD
• Motionmed Rehabilitation LLC
• Ashlee Lamarr Murdock
• Christina Murray, CD, PCD, CBE
• Joy Peverill Murtha, RPH
• Laurel H. Musson, LCSW
• Victoria Lauren Muto, PT, DPT

• Physical Therapist in Centreville, VA
• Providers in Centreville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.