NPIMap

Organization Active NPI

Alexandria Sports, Inc.

  • Rehabilitation Clinic/Center
  • Fairfax Station, VA
National Provider Identifier
1659967768
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ALEXANDRIA SPORTS, INC.
Practice address
9027 Silverbrook Rd
Fairfax Station, VA 22039-2694
Phone
(717) 972-1100
NPI assigned
Dec 14, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030509000038 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9931019684 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alexandria, VA; Arlington, VA; Burke, VA; Fairfax, VA; Fairfax Station, VA
O20211111000433 DC Part B Supplier - Clinic/Group Practice 9931019684 Receives reassigned benefits from 12 practitioners
Practice locations: Fairfax Station, VA

National Provider Directory

National Provider Directory
Tax ID family
Alexandria Sports Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4300 King St
Ste 101
Alexandria, VA 22302
Phone (703) 845-0500

6315 Bren Mar Dr
Ste 150
Alexandria, VA 22312
Phone (703) 256-4830

8101 Hinson Farm Rd
Ste 116117
Alexandria, VA 22306
Phone (703) 769-8455

6035 Burke Centre Pkwy
Ste 300
Burke, VA 22015
Phone (703) 978-3300

9015 Silverbrook Rd
Ste 103104
Fairfax Station, VA 22039
Phone (571) 475-0003

9027 Silverbrook Rd
Fairfax Station, VA 22039

9015 Silverbrook Rd
Ste 104
Fairfax Station, VA 22039
Phone (571) 475-0003

9015 Silverbrook Rd
Ste 10
Fairfax Station, VA 22039
Phone (571) 475-0003

8000 Westpark Dr
Ste 150
Mc Lean, VA 20598
Phone (703) 556-8477

8300 Greensboro Dr
Ste Ll
McLean, VA 22102
Phone (703) 556-8477

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

9027 Silverbrook Rd
Fairfax Station, VA 22039-2694

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

NPPES NPI Registry
  • Select Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2025.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1659967768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 SILVERBROOK RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392694",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA SPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax Station, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.