Active NPI
Eligio Aguhob III, PT, DPT
- Physical Therapist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211286
- Practice address
- 8316 Arlington Blvd Ste 640
Fairfax, VA 22031-5216 - Phone
- (703) 272-8340
- NPI assigned
- Sep 1, 2017
- Sex
- Male
- Sole proprietor
- No
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.
-
- Physical Therapist
- Marriottsville, MD
- NPI 1659553535
DC, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Physical Therapist
- Washington, DC
- NPI 1487139309
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Physical Therapy LLC
Practice addresses (Care Compare)
416 Elden St
Herndon, VA 20170-4511
Phone (703) 817-2914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171006000541 | DC | Practitioner - Physical Therapist in Private Practice | 7719252352 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305211286 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc. | Current | Accepting new patients | |
| Progressive Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
4001 Brandywine St NW
Ste 301
Washington, DC 20016
Phone (202) 516-5697
8215 W 108th Ter
Overland Park, KS 66210
1199 N Fairfax St
Ste 125
Alexandria, VA 22314
Phone (571) 312-2294
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
8316 Arlington Blvd
Ste 640
Fairfax, VA 22031
Phone (703) 208-0820
11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030
Phone (703) 246-8080
416 Elden St
Herndon, VA 20170
Phone (703) 817-2914
8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211286 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8316 Arlington Blvd Ste 640
Fairfax, VA 22031-5216
Mailing address
PO Box 392573
Pittsburgh, PA 15251-9573
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2024.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1154849875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392573",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD STE 640",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315216",
"telephone_number": "703-272-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUHOB III",
"first_name": "ELIGIO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-01",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211286",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.