Individual provider Active NPI

Jason Weilun Liou, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1437869229
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215488 Issued in VA
Practice address
11166 Fairfax Blvd Ste 105
Fairfax, VA 22030-5025
Phone
(703) 435-6604
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215488 VA Primary
Physical Therapist 225100000X CP051245T AZ

Addresses

Primary practice location

11166 Fairfax Blvd Ste 105
Fairfax, VA 22030-5025

Mailing address

1860 Town Center Dr Ste 300
Reston, VA 20190-5900
Phone (703) 435-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AK, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230510002589 VA Practitioner - Physical Therapist in Private Practice 7810367299 Reassigns benefits to 1 organization
I20250303002425 AK Practitioner - Physical Therapist in Private Practice 7810367299 Reassigns benefits to 1 organization
I20260616002547 AZ Practitioner - Physical Therapist in Private Practice 7810367299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Sports and Orthopedic Physical Therapy LLCGroup PAC ID 6204834906, 15 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

1980 W Benson Blvd
Anchorage, AK 99517-1913
Phone (907) 375-5555

9377 E Bell Rd
Suite 349
Scottsdale, AZ 85260-1502
Phone (602) 512-8434

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051245TAZMDPhysical Therapist
2305215488VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients

Locations

1980 W Benson Blvd
Anchorage, AK 99517
Phone (907) 375-5555

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

Organizations & group practices 3

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1437869229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-435-6604",
            "fax_number": "703-662-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 FAIRFAX BLVD STE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305025",
            "telephone_number": "703-435-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIOU",
        "first_name": "JASON",
        "middle_name": "WEILUN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215488",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP051245T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.