Individual provider Active NPI

Abhinav Yadav, DPT

  • Physical Therapist
  • Lorton, VA
National Provider Identifier
1497303374
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213485 Issued in VA
Practice address
7764 Armistead Rd Ste 210
Lorton, VA 22079-1961
Phone
(703) 546-0013
Fax
(703) 546-0014
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 AR4692 AR
Physical Therapist 225100000X 2305213485 VA Primary

Addresses

Primary practice location

7764 Armistead Rd Ste 210
Lorton, VA 22079-1961

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 546-0013

Other practice location 1

2 Caddo Crossing Dr Ste E
Glenwood, AR 71943-8885
Phone (870) 356-4954

Other practice location 2

2278 Albert Pike Rd Ste B
Hot Springs, AR 71913-4157
Phone (501) 767-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200701003115 VA Practitioner - Physical Therapist in Private Practice 1557784972 Reassigns benefits to 1 organization
I20200702001324 DC Practitioner - Physical Therapist in Private Practice 1557784972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

7764 Armistead Rd
Suite 210
Lorton, VA 22079-1961
Phone (703) 546-0013

8140 Ashton Ave
Suite 104
Manassas, VA 20109-5699
Phone (703) 257-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213485VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jun 1, 2020 Accepting new patients

Locations

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

7764 Armistead Rd
Ste 210
Lorton, VA 22079
Phone (703) 546-0013

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1497303374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "703-546-0013",
            "fax_number": "703-546-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD STE 210",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791961",
            "telephone_number": "703-546-0013",
            "fax_number": "703-546-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Caddo Crossing Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "AR",
            "postal_code": "719438885",
            "country_code": "US",
            "telephone_number": "870-356-4954",
            "fax_number": "870-356-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2278 Albert Pike Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719134157",
            "country_code": "US",
            "telephone_number": "501-767-0808",
            "fax_number": "501-767-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADAV",
        "first_name": "ABHINAV",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "AR4692",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.