Individual provider Active NPI

Melinda Agarwal

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1417245325
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216981 Issued in VA
Practice address
501 Church St NE Ste 105
Vienna, VA 22180-4734
Phone
(703) 938-8585
NPI assigned
Jul 12, 2011
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 2305216981 VA Primary

Addresses

Primary practice location

501 Church St NE Ste 105
Vienna, VA 22180-4734

Mailing address

501 Church St NE Ste 105
Vienna, VA 22180-4734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721000648 DC Practitioner - Physical Therapist in Private Practice 3476069154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216981VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Spring Valley LLC CurrentSince Jul 16, 2025 Accepting new patients
Martin Drugs Inc Past Accepting new patients
Physiotherapy Associates Inc PastSince Nov 9, 2025 Accepting new patients
Physiotherapy Associates Inc PastSince Nov 9, 2025 Accepting new patients
Select Medical Past Accepting new patients

Locations

4301 50th St NW
Ste 100
Washington, DC 20016
Phone (202) 448-9662

603 W Broad St
Ste 200
Falls Church, VA 22046
Phone (443) 839-4889

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1417245325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE STE 105",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE STE 105",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734",
            "telephone_number": "703-938-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.