Professional Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL PHYSICAL THERAPY LLC

Practice address

3767 Fettler Park Dr
Dumfries, VA 22025-1946

Phone

(703) 730-6400

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Douglas Kendrick Chan, MSPTNPI 1376616268

Title

Owner

Phone

(703) 730-6400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Kendrick Chan, PT

  • Physical Therapist
  • Dumfries, VA
  • NPI 1376616268
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Cecilia Acevedo, P.T

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1518409747
  Medicare reassignment Care Compare group NPD
• Carla Renee Rivera, DPT

  • Physical Therapist
  • Honolulu, HI
  • NPI 1053547893

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1114321619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3767 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "703-730-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "703-730-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "KENDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-730-6400",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward B Price, M.P.T.
• Rhiannon Price, LCSW
• Primecare Inc
• Ana Michele Principi, DPT
• Privia Medical Group, LLC
• Pronto Health Service
• Pulmocare LLC
• QRS Carerides LLC
• Quantico Dental Care PLLC
• Francis George Quarshie

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.