Individual provider Active NPI

Pooja Patel, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1326624636
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216318 Issued in VA
Practice address
1886 Metro Center Dr Ste 300
Reston, VA 20190-5291
Phone
(703) 892-6500
Fax
(703) 521-3415
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216318 VA Primary

Addresses

Primary practice location

1886 Metro Center Dr Ste 300
Reston, VA 20190-5291

Mailing address

1886 Metro Center Dr Ste 300
Reston, VA 20190-5291
Phone (703) 892-6500

Other names 1

  • Pooja Mukeshkumar Patel Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240828000762 DC Practitioner - Physical Therapist in Private Practice 1759774805 Reassigns benefits to 1 organization
I20250717002810 VA Practitioner - Physical Therapist in Private Practice 1759774805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Anderson Clinic LLC CurrentSince Aug 19, 2024 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Promet Physical Therapy, PC Physical Therapist PastSince Feb 1, 2022 Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

1886 Metro Center Dr
Ste 300
Reston, VA 20190

1410 N Augusta St
#A
Staunton, VA 24401

3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1326624636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 METRO CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905291",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 METRO CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905291",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "PATEL",
            "middle_name": "MUKESHKUMAR",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.