Individual provider Active NPI

Hamid Espandyari, PT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1255771515
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
230500408 Issued in VA
Practice address
8316 Arlington Blvd #520
Fairfax, VA 22031
Phone
(703) 205-1999
Fax
(703) 205-1911
NPI assigned
Jul 1, 2013
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305004058 VA
Physical Therapist 225100000X 230500408 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd #520
Fairfax, VA 22031

Mailing address

8316 Arlington Blvd #520
Fairfax,, VA 22031
Phone (703) 205-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020000566 DC Practitioner - Physical Therapist in Private Practice 4486872090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17844MDMDPharmacist
230500408VAMDPhysical Therapist
2305004058VAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Orthopaedic & Knee Clinic Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Inova Health Care Services Single Specialty Past Accepting new patients

Locations

8316 Arlington Blvd
Ste 510
Fairfax, VA 22031
Phone (703) 641-5633

8318 Arlington Blvd
Ste 100A
Fairfax, VA 22031
Phone (703) 204-8333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1255771515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD #520",
            "city": "FAIRFAX,",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-205-1999",
            "fax_number": "703-205-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD #520",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-205-1999",
            "fax_number": "703-205-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPANDYARI",
        "first_name": "HAMID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305004058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "230500408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.