Active NPI
Randy Joseph O'Brien, DPT
- Physical Therapist
- Gainesville, VA
National Provider Identifier
1508917410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005659
- Practice address
- 7521 Virginia Oaks Dr
Suite 240
Gainesville, VA 20155-3831 - Phone
- (703) 753-7600
- Fax
- (703) 753-8070
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005659 | VA | Primary |
Addresses
Primary practice location
7521 Virginia Oaks Dr
Suite 240
Gainesville, VA 20155-3831
Mailing address
5719 Centre Square Dr
Centreville, VA 20120-1916
Phone (703) 818-8804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10373 Democracy LN
Suite a
Fairfax, VA 22030-2588
Phone (703) 385-2855
7521 Virginia Oaks Dr
Suite 240
Gainesville, VA 20155-3831
Phone (703) 753-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305005659 | VA | MD | Physical Therapist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1508917410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5719 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-818-8804",
"fax_number": "703-818-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7521 VIRGINIA OAKS DR",
"address_2": "SUITE 240",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553831",
"telephone_number": "703-753-7600",
"fax_number": "703-753-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "RANDY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.