Active NPI
Viral Thakker, PT, DPT
- Physical Therapist
- Broadlands, VA
National Provider Identifier
1417209115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207642
- Practice address
- 21000 Education CT
Broadlands, VA 20148-5526 - Phone
- (571) 252-1011
- NPI assigned
- Oct 5, 2012
- 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 | 2305207642 | Primary |
Addresses
Primary practice location
21000 Education CT
Broadlands, VA 20148-5526
Mailing address
12321 Field Lark CT
Fairfax, VA 22033-2821
Phone (408) 608-9085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun County Public Schools | Past | Accepting new patients | |
| Fairfax Physical Therapy, Incorporated | Physical Therapist | Past | Accepting new patients |
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.
-
- Orthopedic Physical Therapist
- Fairfax, VA
- NPI 1871716563
-
- Local Education Agency (LEA)
- Broadlands, VA
- NPI 1902151863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1417209115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12321 FIELD LARK CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332821",
"telephone_number": "408-608-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 EDUCATION CT",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201485526",
"telephone_number": "571-252-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKER",
"first_name": "VIRAL",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "2305207642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.