Jordan Kfoury

Individual provider Active NPI Physical Therapist · Great Falls, VA

NPI 1134616147 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1134616147
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305211585 (VA)
Practice address
10135 Colvin Run Rd
Great Falls, VA 22066-1872
Phone
(703) 637-8624
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Great Falls Physical Therapy LLC (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2305211585VAMDPhysical Therapist

Practice roles

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

Locations

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211585 VA Yes

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

Other providers in Great Falls, VA

All providers in Great Falls, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.