NPIMap

Organization Active NPI

Loudoun Physical Therapy, Inc.

Doing business as Loudoun Physical Therapy

  • Physical Therapist
  • Leesburg, VA
National Provider Identifier
1629128152
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LOUDOUN PHYSICAL THERAPY, INC.
Doing business as
Loudoun Physical Therapy
Practice address
525 E Market St
Suite B
Leesburg, VA 20176-4171
Phone
(703) 443-6700
Fax
(703) 443-6702
NPI assigned
Jan 10, 2007
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Mrs. Genevieve E. Griffin, PT, DPTNPI 1033159504
Title
President
Phone
(703) 443-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

525 E Market St
Suite B
Leesburg, VA 20176-4171

Mailing address

525 E Market St
Suite B
Leesburg, VA 20176-4171
Phone (703) 443-6700

Other names 1

  • Loudoun Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001554 VA Part B Supplier - Clinic/Group Practice 4981595469 Receives reassigned benefits from 6 practitioners
Practice locations: Leesburg, VA; Lansdowne, VA

National Provider Directory

National Provider Directory

Locations

44050 Woodridge Pkwy
Lansdowne, VA 20176
Phone (703) 443-6700

1043 Edwards Ferry Rd NE
#H
Leesburg, VA 20176
Phone (703) 443-6700

60 Ida Lee Dr NW
Leesburg, VA 20176
Phone (703) 443-6700

46105 Loudoun Park Ln
Sterling, VA 20164
Phone (703) 443-6700

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1629128152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "SUITE B",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764171",
            "telephone_number": "703-443-6700",
            "fax_number": "703-443-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "SUITE B",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764171",
            "telephone_number": "703-443-6700",
            "fax_number": "703-443-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-443-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loudoun Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.