Individual provider Active NPI

Jennifer Stahl, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1104135474
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206133 Issued in VA
Practice address
5923 Lee Hwy
Arlington, VA 22207-1453
Phone
(614) 214-0875
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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 2305206133 VA Primary

Addresses

Primary practice location

5923 Lee Hwy
Arlington, VA 22207-1453

Mailing address

5923 Lee Hwy
Arlington, VA 22207-1453
Phone (614) 214-0875

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250917000076 VA Practitioner - Physical Therapist in Private Practice 5496096877 Reassigns benefits to 1 organization
I20251002001361 DC Practitioner - Physical Therapist in Private Practice 5496096877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

2030 Westmoreland St
Falls Church, VA 22043-1768
Phone (703) 237-4550

4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (571) 800-8693

5485 Westbard Ave
Bethesda, MD 20816-1408
Phone (240) 283-7094

9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone (703) 424-9941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206133VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist Current Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 19, 2025 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 4

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1104135474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 LEE HWY",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071453",
            "telephone_number": "614-214-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 LEE HWY",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071453",
            "telephone_number": "614-214-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.