Individual provider Active NPI

Rachel Cornish Panosian, DPT

  • Physical Therapist
  • Haymarket, VA
National Provider Identifier
1114365707
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209728 Issued in VA
Practice address
5300 Merchants View SQ Ste 110
Haymarket, VA 20169-3335
Phone
(571) 248-0232
NPI assigned
Jun 5, 2013
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8539716-2401 UT
Physical Therapist 225100000X PTL.0012185 CO
Physical Therapist 225100000X 2305209728 VA Primary

Addresses

Primary practice location

5300 Merchants View SQ Ste 110
Haymarket, VA 20169-3335

Mailing address

5300 Merchants View SQ Ste 110
Haymarket, VA 20169-3335
Phone (571) 248-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317001671 VA Practitioner - Physical Medicine and Rehabilitation 8022482835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Physical Therapy Services, LLCGroup PAC ID 4880019371, 7 clinicians

Practice addresses (Care Compare)

5300 Merchants View SQ
Suite 110
Haymarket, VA 20169-3335
Phone (571) 248-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012185COMDPhysical Therapist
8539716-2401UTMDPhysical Therapist
2305209728VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy Services, LLC Physical Therapist CurrentSince Feb 14, 2023 Accepting new patients

Locations

5300 Merchants View Sq
Ste 110
Haymarket, VA 20169
Phone (571) 248-0232

Organizations & group practices 1

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1114365707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MERCHANTS VIEW SQ STE 110",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693335",
            "telephone_number": "571-248-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MERCHANTS VIEW SQ STE 110",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693335",
            "telephone_number": "571-248-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSIAN",
        "first_name": "RACHEL",
        "middle_name": "CORNISH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "8539716-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012185",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.