Individual provider Active NPI

Michail S Baskaron

  • Physical Therapist
  • Centreville, VA
National Provider Identifier
1326538679
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215553 Issued in VA
Practice address
6430 Selby CT
Centreville, VA 20121-2547
Phone
(508) 202-8508
NPI assigned
May 12, 2018
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215553 VA Primary
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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 4486630985, 16 clinicians
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

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 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
2305215553VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 5, 2024 Accepting new patients
The Temple Foundation Inc Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
Orthovirginia, Inc CurrentSince Sep 9, 2024 Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc. Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jan 12, 2023 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) 844-6859

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

Organizations & group practices 7

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": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1326538679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 SELBY CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212547",
            "telephone_number": "508-202-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SELBY CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212547",
            "telephone_number": "508-202-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKARON",
        "first_name": "MICHAIL",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215553",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.