Daniel Elias Medina, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216094 Issued in VA

Practice address

10461 White Granite Dr Ste 106
Oakton, VA 22124-2762

Phone

(703) 559-6823

Fax

(888) 546-3565

NPI assigned

Oct 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River5 Therapy 1, LLCGroup PAC ID 7214384288, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River5 Therapy 1, LLC

  • Physical Therapy Clinic/Center
  • Oakton, VA
  • NPI 1902599558

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Piedmont Physical Therapy, Inc

  • Physical Therapist
  • Manassas, VA
  • NPI 1194968768
  Medicare reassignment NPD

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1487426276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 VALENTINO CT",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 WHITE GRANITE DR STE 106",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242762",
            "telephone_number": "703-559-6823",
            "fax_number": "888-546-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DANIEL",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Mayer
• Amy Gordon McGlynn, PH.D.
• Kevin Michael McGrath, D.D.S.
• Elizabeth Marie McMillan, LDN
• Chelsea Myers McNally, PT, DPT
• Kavoos Noori Mesbahi, MD
• Samantha Olivia Milgrim, M.A. , R.C.
• Rebecca Anne Miller, FNP-C
• Ella A Mink, DOULA
• Niloofar Mofakhami, DDS

• Physical Therapist in Oakton, VA
• Providers in Oakton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.