Individual provider Active NPI

Danielle A Fishburn, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1174857650
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206164 Issued in VA
Practice address
1850 Town Center Pkwy
Suite 403
Reston, VA 20190-3219
Phone
(703) 810-5203
Fax
(703) 691-4933
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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 2305206164 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Suite 403
Reston, VA 20190-3219

Mailing address

11240 Waples Mill Rd
Suite 403
Fairfax, VA 22030-6078
Phone (703) 383-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfishburn6483@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091230000610 DC Practitioner - Physical Therapist in Private Practice 1850432691 Reassigns benefits to 1 organization
I20251119000037 VA Practitioner - Physical Therapist in Private Practice 1850432691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1635 N George Mason Dr
Suite 110
Arlington, VA 22205-3604
Phone (703) 810-5216

20041 Riverside Commons PLZ
Ashburn, VA 20147-5151
Phone (703) 446-0447

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206164VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Orthovirginia, Inc. CurrentSince Jul 31, 2025 Accepting new patients
Orthovirginia, Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

1635 N George Mason Dr
Ste 110
Arlington, VA 22205
Phone (703) 522-3515

20041 Riverside Commons Plz
Ashburn, VA 20147
Phone (703) 277-2663

11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030
Phone (703) 246-8080

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1850 Town Center Pkwy
Ste 403
Reston, VA 20190
Phone (703) 736-2806

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1174857650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD",
            "address_2": "SUITE 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-383-6454",
            "fax_number": "703-691-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "address_2": "SUITE 403",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-810-5203",
            "fax_number": "703-691-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBURN",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfishburn6483@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Danielle A Fishburn direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1850 Town Center Pkwy",
            "address_2": "Suite 403",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.