Individual provider Active NPI

Eligio Aguhob III, PT, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1154849875
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211286 Issued in VA
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.

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 42 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2305211286VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy, LLC Physical Therapist CurrentSince Sep 13, 2023 Accepting new patients
Orthovirginia, Inc CurrentSince Sep 11, 2017 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211286 VA Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.