Individual provider Active NPI

Cris Fedalizo, DPT

  • Physical Therapist
  • Annandale, VA
National Provider Identifier
1518388685
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213659 Issued in VA
Practice address
3299 Woodburn Rd Ste 480
Annandale, VA 22003-7333
Phone
(703) 892-6500
Fax
(703) 521-3415
NPI assigned
Dec 17, 2013
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 070.019651 IL
Physical Therapist 225100000X 2305213659 VA Primary

Addresses

Primary practice location

3299 Woodburn Rd Ste 480
Annandale, VA 22003-7333

Mailing address

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220503002779 OR Practitioner - Physical Therapist in Private Practice 9931339496 Reassigns benefits to 1 organization
I20230908002040 DC Practitioner - Physical Therapist in Private Practice 9931339496 Reassigns benefits to 3 organizations
I20231211002003 VA Practitioner - Physical Therapist in Private Practice 9931339496 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)

2800 S Shirlington Rd
Suite 510
Arlington, VA 22206-3605
Phone (703) 933-0038

43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.019651ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC CurrentSince Dec 8, 2025 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 9, 2023 Accepting new patients
Anderson Clinic LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Artizo LLC Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 9, 2023 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Nov 13, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2950 Donnell Dr
Ste G
Forestville, MD 20747
Phone (240) 492-3410

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

495 W Arlington St
Gladstone, OR 97027
Phone (971) 233-0309

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3299 Woodburn Rd
Ste 480
Annandale, VA 22003
Phone (703) 876-0734

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2800 S Shirlington Rd
Ste 510
Arlington, VA 22206
Phone (703) 933-0038

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

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181

6564 Loisdale Ct
Ste 500
Springfield, VA 22150
Phone (703) 232-7977

Organizations & group practices 8

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": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1518388685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 480",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037333",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDALIZO",
        "first_name": "CRIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019651",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.