Michail S Baskaron
Individual provider Active NPI Physical Therapist · Centreville, VA
NPI 1326538679 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1326538679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305215553 (VA)
- Practice address
- 6430 Selby CT
Centreville, VA 20121-2547 - Phone
- (508) 202-8508
- NPI assigned
- May 12, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Temple Foundation Inc
Virginia Luna Care Physical Therapy LLC
Practice addresses (Care Compare)
3020 Hamaker CT
Suite 100
Fairfax, VA 22031-2233
Phone (703) 844-8599
3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175
5109 Arrowbrook CT
Glen Allen, VA 23060-2876
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230225000262 | DC | Practitioner - Physical Therapist in Private Practice | 0749653541 | Reassigns benefits to 4 organizations |
| I20230330000493 | VA | Practitioner - Physical Therapist in Private Practice | 0749653541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Temple Foundation Inc | Physical Therapist | Current |
Accepting new patients |
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Orthovirginia Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc | Current |
Accepting new patients | |
| Orthovirginia, Inc. | Physical Therapist | Current |
Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past |
Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
4299 Chantilly Shopping Center Dr
Ste 104
Chantilly, VA 20151
Phone (703) 844-0690
3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-8599
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304
13350 Franklin Farm Rd
Ste 300
Herndon, VA 20171
Phone (703) 234-1045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305215553 | VA | Yes |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
6430 Selby CT
Centreville, VA 20121-2547
Mailing address
6430 Selby CT
Centreville, VA 20121-2547
Phone (508) 202-8508
Other providers in Centreville, VA
- Mary Elizabeth Baron
- Jessica Barrett
- Sarah Barrows
- Bandana Bashyal
- Reem Basit I
- Jennifer Michelle Bass
- Gankhuleg Batsuuri
- Bawa Dentistry PLLC
- Beam Pediatric Therapy, LLC
- Willie Keith Beasley
All providers in Centreville, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.