NPIMap

Organization Active NPI

Dominion Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Dumfries, VA
National Provider Identifier
1346897204
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DOMINION PHYSICAL THERAPY, LLC
Practice address
3695 Fettler Park Dr
Dumfries, VA 22025-2049
Phone
(540) 460-2751
NPI assigned
Aug 24, 2019
Last updated
Jan 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2020

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

Authorized official

Name
Dr. Aaron K Perkins, PT, DPTNPI 1588749196
Title
Chief Executive Manager
Phone
(571) 427-4378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3695 Fettler Park Dr
Dumfries, VA 22025-2049

Mailing address

PO Box 852
Stafford, VA 22555-0852
Phone (571) 427-4378

Other names 1

  • Dominion Physical Therapy, Llc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200220001773 VA Part B Supplier - Clinic/Group Practice 4486081007 Receives reassigned benefits from 9 practitioners
Practice locations: Dumfries, VA; Stafford, VA

National Provider Directory

National Provider Directory

Locations

3695 Fettler Park Dr
Dumfries, VA 22025
Phone (571) 427-4378

124 Old Potomac Church Rd
#201
Stafford, VA 22554
Phone (571) 427-4378

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578700800000",
    "number": "1346897204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225550852",
            "telephone_number": "571-427-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252049",
            "telephone_number": "540-460-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "571-427-4378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominion Physical Therapy, Llc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dominion Physical Therapy, Llc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; 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.