In-Home Physical Therapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IN-HOME PHYSICAL THERAPY AND WELLNESS LLC

Practice address

9006 Windflower LN
Annandale, VA 22003-4057

Phone

(571) 406-8833

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katerina DaboltNPI 1851583470

Title

Owner

Phone

(571) 406-8833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 2

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.

• Katerina Dabolt, PT

  • Physical Therapist
  • Fairfax, VA
  • NPI 1851583470

  DC

  Medicare reassignment NPD Authorized official
• Frederic Wixson, MSPT, GCS

  • Physical Therapy Clinic/Center
  • Alexandria, VA
  • NPI 1194363523

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1659085371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 WINDFLOWER LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 WINDFLOWER LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034057",
            "telephone_number": "571-406-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "DABOLT",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-406-8833"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.