Individual provider Active NPI

Jakevious Dewayne Rosser

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1427969716
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217932 Issued in VA
Practice address
1005 N Glebe Rd Ste 410
Arlington, VA 22201-5931
Phone
(571) 414-6930
NPI assigned
Sep 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 2305217932 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd Ste 410
Arlington, VA 22201-5931

Mailing address

5975 Grand Pavilion Way Unit 214
Alexandria, VA 22303-2297
Phone (731) 734-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1427969716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 GRAND PAVILION WAY UNIT 214",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032297",
            "telephone_number": "731-734-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015931",
            "telephone_number": "571-414-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "JAKEVIOUS",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.