Robyn H Datiles

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214534 Issued in VA

Practice address

9010 Lorton Station Blvd Ste 240
Lorton, VA 22079-4795

Phone

(703) 337-1550

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1194218065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 ENTERPRISE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 240",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794795",
            "telephone_number": "703-337-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATILES",
        "first_name": "ROBYN",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Cranford
• Carlo Crizaldo
• Eric Michael Cryan, DVM
• Dao T Nguyen DDS PC (Lorton Station Dental Care)
• Dariyan Home Care LLC
• Ashley Davidson, RDH
• Christopher Davis
• Melanie Elaine Demaria, DMD
• Assefa Tesega Demewoz, DDS
• Dental Professionals of Virginia, P.C (Reflection Dental Lorton)

• Physical Therapist in Lorton, VA
• Providers in Lorton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.