Active NPI
Issac Johnson
- Occupational Therapist
- Fort Belvoir, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09345 | MD | MD | Endodontist |
| 0119006655 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | 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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Virginia Beach, VA
- NPI 1871241414
-
dba Powerback Rehabilitation
- Physical Therapist
- Washington, DC
- NPI 1508133661
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
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.