Individual provider Active NPI

Jordan Kfoury

  • Physical Therapist
  • Great Falls, VA
National Provider Identifier
1134616147
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211585 Issued in VA
Practice address
10135 Colvin Run Rd
Great Falls, VA 22066-1872
Phone
(703) 637-8624
NPI assigned
Apr 16, 2018
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 2305211585 VA Primary

Addresses

Primary practice location

10135 Colvin Run Rd
Great Falls, VA 22066-1872

Mailing address

801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Phone (866) 991-0900

Other practice location 1

766 Walker Rd Ste B
Great Falls, VA 22066-2650
Phone (703) 349-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911000146 DC Practitioner - Physical Therapist in Private Practice 7315297439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Great Falls Physical Therapy LLCGroup PAC ID 6406286533, 8 clinicians

Practice addresses (Care Compare)

10135 Colvin Run Rd
Suite 100
Great Falls, VA 22066-1872
Phone (703) 349-1030

766 Walker Rd
Suite B
Great Falls, VA 22066-2650
Phone (703) 349-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction CurrentSince Aug 16, 2018 Accepting new patients
Great Falls Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients

Locations

1715 N George Mason Dr
Ste 504
Arlington, VA 22205
Phone (703) 525-2200

10135 Colvin Run Rd
Ste 100
Great Falls, VA 22066
Phone (703) 349-1030

766 Walker Rd
Ste B
Great Falls, VA 22066
Phone (703) 349-1030

Organizations & group practices 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1134616147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL STE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706224",
            "telephone_number": "866-991-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 COLVIN RUN RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661872",
            "telephone_number": "703-637-8624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 Walker Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "VA",
            "postal_code": "220662650",
            "country_code": "US",
            "telephone_number": "703-349-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KFOURY",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.