Active NPI
Rachel Danielle Brennan, DPT
- Physical Therapist
- Herndon, VA
National Provider Identifier
1386429462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305216025
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305216025 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Motion LLC | Physical Therapist | Current | Accepting new patients |
| Advantage PT Corp. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Falls Church, VA
- NPI 1699907782
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.