Individual provider Active NPI

Colin JC Elliot, MCSP, RPT, BSPT

  • Physical Therapist
  • Gainesville, VA
National Provider Identifier
1467466821
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004811 Issued in VA
Practice address
14535 John Marshall Hwy Ste 203
Gainesville, VA 20155-4025
Phone
(703) 753-0261
Fax
(703) 743-2967
NPI assigned
Jul 28, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 2305004811 VA Primary

Addresses

Primary practice location

14535 John Marshall Hwy Ste 203
Gainesville, VA 20155-4025

Mailing address

14535 John Marshall Hwy Ste 203
Gainesville, VA 20155-4025
Phone (703) 753-0261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000095 VA Practitioner - Physical Therapist in Private Practice 0345245312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haymarket Physical Therapy LLCGroup PAC ID 4486961687, 4 clinicians

Practice addresses (Care Compare)

14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4025
Phone (703) 753-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305004811VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livinrite, Inc Current Accepting new patients
Haymarket Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Piedmont Family Practice, PLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

10342 Bristow Center Dr
Bristow, VA 20136
Phone (571) 719-3563

14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155
Phone (703) 753-0261

493 Blackwell Rd
Ste 202
Warrenton, VA 20186
Phone (540) 341-1734

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Livin Rite Home Health ServicesManassas, VA, CCN 497593 Home health agency Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Sep 23, 2015
May 28, 2003
May 28, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1467466821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554025",
            "telephone_number": "703-753-0261",
            "fax_number": "703-743-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554025",
            "telephone_number": "703-753-0261",
            "fax_number": "703-743-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "COLIN",
        "middle_name": "JC",
        "credential": "MCSP, RPT, BSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.