Active NPI
Goran Yaksic
- Orthopedic Physical Therapist
- Alexandria, VA
National Provider Identifier
1235009150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305217494
- Practice address
- 5905 Norham Dr
Alexandria, VA 22315-4732 - Phone
- (703) 408-2878
- NPI assigned
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305217494 | VA | Primary |
Addresses
Primary practice location
5905 Norham Dr
Alexandria, VA 22315-4732
Mailing address
5905 Norham Dr
Alexandria, VA 22315-4732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305217494 | VA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1235009150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 NORHAM DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223154732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 NORHAM DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223154732",
"telephone_number": "703-408-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKSIC",
"first_name": "GORAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305217494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.