Individual provider Active NPI

Issac Johnson

  • Occupational Therapist
  • Fort Belvoir, VA
National Provider Identifier
1356718076
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119006655 Issued in VA
Practice address
9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703
Phone
(703) 781-2447
NPI assigned
Aug 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006655 VA Primary
Occupational Therapist 225X00000X 09345 MD

Addresses

Primary practice location

9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703

Mailing address

1517 Fuller LN
Virginia Beach, VA 23455-4211
Phone (757) 270-2658

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220414001498 DC Practitioner - Occupational Therapist in Private Practice 9638565849 Reassigns benefits to 2 organizations
I20220418000349 VA Practitioner - Occupational Therapist in Private Practice 9638565849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

2030 Westmoreland St
Falls Church, VA 22043-1768
Phone (703) 237-4550

4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (571) 800-8693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09345MDMDEndodontist
0119006655VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1356718076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 FULLER LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554211",
            "telephone_number": "757-270-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BELVOIR WOODS PKWY",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602703",
            "telephone_number": "703-781-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ISSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006655",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

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