Individual provider Active NPI

Patrick Tarman, DPT

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1447080023
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216668 Issued in VA
Practice address
1723 Financial Loop
Woodbridge, VA 22192-2460
Phone
(571) 572-3061
Fax
(571) 572-3410
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 2305216668 VA Primary

Addresses

Primary practice location

1723 Financial Loop
Woodbridge, VA 22192-2460

Mailing address

12581 Milstead Way Ste 201
Woodbridge, VA 22192-5446
Phone (703) 763-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025002067 VA Practitioner - Physical Medicine and Rehabilitation 3577096734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-County Physical Therapy LLCGroup PAC ID 6709936941, 7 clinicians

Practice addresses (Care Compare)

12581 Milstead Way
Suite 201
Woodbridge, VA 22192-5446
Phone (703) 763-3922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216668VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-County Physical Therapy LLC Physical Therapist CurrentSince Aug 8, 2024 Accepting new patients

Locations

12581 Milstead Way
Ste 201
Woodbridge, VA 22192
Phone (703) 763-3922

1723 Financial Loop
Woodbridge, VA 22192
Phone (571) 572-3061

3421 Commission Ct
Ste 100
Woodbridge, VA 22192

Organizations & group practices 1

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1447080023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925446",
            "telephone_number": "703-763-3922",
            "fax_number": "703-763-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 FINANCIAL LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "571-572-3061",
            "fax_number": "571-572-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARMAN",
        "first_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.