Individual provider Active NPI

Victoria Lauren Muto, PT, DPT

  • Physical Therapist
  • Centreville, VA
National Provider Identifier
1366193591
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP010213T Issued in VA
Practice address
6201 Centreville Rd Ste 100
Centreville, VA 20121-2626
Phone
(703) 263-9600
Fax
(844) 560-1480
NPI assigned
Jan 10, 2022
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 111761 IA
Physical Therapist 225100000X CP010213T VA Primary

Addresses

Primary practice location

6201 Centreville Rd Ste 100
Centreville, VA 20121-2626

Mailing address

2005 NW 129TH St
Clive, IA 50325-7505
Phone (515) 554-8889

Other practice location 1

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone (888) 576-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220412002574 DC Practitioner - Physical Therapist in Private Practice 7517353923 Reassigns benefits to 1 organization
I20220420000545 VA Practitioner - Physical Therapist in Private Practice 7517353923 Reassigns benefits to 1 organization
I20230522002091 TN Practitioner - Physical Therapist in Private Practice 7517353923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111761IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Jan 31, 2022 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince May 3, 2023 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

7614 Highway 70 S
Ste 230
Nashville, TN 37221
Phone (615) 636-8132

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

6201 Centreville Rd
Ste 100
Centreville, VA 20121
Phone (703) 263-9600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Organizations & group practices 3

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1366193591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 NW 129TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257505",
            "telephone_number": "515-554-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CENTREVILLE RD STE 100",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212626",
            "telephone_number": "703-263-9600",
            "fax_number": "844-560-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 Cypress Waters Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750194630",
            "country_code": "US",
            "telephone_number": "888-576-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTO",
        "first_name": "VICTORIA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "111761",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP010213T",
            "primary": true
        }
    ],
    "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 Jan 24, 2022; 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.