Stacy J Allouche, PT
Individual provider Active NPI Physical Therapist · Centreville, VA
NPI 1366804320 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1366804320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305204616 (VA)
- Practice address
- 6201 Centreville Rd Ste 100
Centreville, VA 20121-2626 - Phone
- (703) 263-9600
- Fax
- (571) 472-6514
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairfax Family Practice Centers PC
Practice addresses (Care Compare)
6201 Centreville Rd
Suite 100
Centreville, VA 20121-2626
Phone (703) 263-9600
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160517000035 | DC | Practitioner - Physical Therapist in Private Practice | 3375832264 | Reassigns benefits to 3 organizations |
| I20160520001185 | VA | Practitioner - Physical Therapist in Private Practice | 3375832264 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Family Practice Centers PC | Current |
Accepting new patients | |
| Inova Physician Partners, LLC | Current |
Accepting new patients | |
| Fox Rehabilitation Services LLC | Physical Therapist | Current |
Accepting new patients |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003
22895 Brambleton Plz
Ste 200
Brambleton, VA 20148
Phone (703) 220-0779
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
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204616 | VA | Yes |
Addresses
Primary practice location
6201 Centreville Rd Ste 100
Centreville, VA 20121-2626
Mailing address
14112 Rock Canyon Dr
Centreville, VA 20121-3859
Other practice location 1
14112 Rock Canyon Dr
Centreville, VA 20121-3859
Phone (603) 438-4592
Other providers in Centreville, VA
- Alda Medispa LLC
- Mercedes Helena Alfaro
- Alaa Alkhalil
- All Eyes Optometrists, PC
- All Female OB/GYN
- Barbra Almond
- Jesenia Alonso Arevalo
- Sarah Leann Alvarez
- Abdul Jamil Aman
- John Amantea
All providers in Centreville, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.