Individual provider Active NPI

Rachel Danielle Brennan, DPT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1386429462
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216025 Issued in VA
Practice address
950 Herndon Pkwy Ste 425
Herndon, VA 20170-5537
Phone
(703) 665-1444
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216025 VA Primary

Addresses

Primary practice location

950 Herndon Pkwy Ste 425
Herndon, VA 20170-5537

Mailing address

12105 Pine Forest Cir Apt a
Fairfax, VA 22030-7709
Phone (619) 459-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921000390 DC Practitioner - Physical Therapist in Private Practice 7113371485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216025VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Motion LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Advantage PT Corp. Physical Therapist CurrentSince Aug 21, 2009 Accepting new patients

Locations

6565 Arlington Blvd
Ste 220
Falls Church, VA 22042
Phone (703) 832-0193

950 Herndon Pkwy
Ste 425
Herndon, VA 20170
Phone (703) 249-9192

Organizations & group practices 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1386429462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 PINE FOREST CIR APT A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307709",
            "telephone_number": "619-459-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HERNDON PKWY STE 425",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705537",
            "telephone_number": "703-665-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "RACHEL",
        "middle_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216025",
            "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 Aug 28, 2023; 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.