Active NPI
Donald Tyler Pubins
- Physical Therapist
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305216270
- Practice address
- 13350 Franklin Farm Rd
Herndon, VA 20171-4091 - Phone
- (703) 810-5204
- NPI assigned
- Feb 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305216270 | VA | Primary |
Addresses
Primary practice location
13350 Franklin Farm Rd
Herndon, VA 20171-4091
Mailing address
PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N Glebe Rd
Suite 101
Arlington, VA 22207-3558
Phone (571) 599-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc. | Physical Therapist | Current | Accepting new patients |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Commonwealth Orthopaedics & Rehabilitation, PC | Past | Accepting new patients | |
| Orthovirginia, Inc. | Past | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
2501 N Glebe Rd
Ste 101
Arlington, VA 22207
Phone (571) 599-2406
13350 Franklin Farm Rd
Ste 300
Herndon, VA 20171
Phone (703) 234-1045
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.
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Orthopaedic Surgery Physician
- Fairfax, VA
- NPI 1295829893
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1376306456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715868",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191715868",
"telephone_number": "804-915-1910",
"fax_number": "804-968-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13350 FRANKLIN FARM RD",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714091",
"telephone_number": "703-810-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUBINS",
"first_name": "DONALD",
"middle_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305216270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.