Deluxe Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DELUXE PHYSICAL THERAPY LLC

Practice address

243 Church St NW Ste 100a
Vienna, VA 22180-4450

Phone

(703) 679-8078

NPI assigned

Oct 26, 2022

Last updated

Sep 16, 2025By 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

Dr. Petya Djoubrailov, PTNPI 1801238316

Title

Owner/Physical Therapist

Phone

(703) 679-8078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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.

• Petya Djoubrailov, PT

  • Physical Therapist
  • Vienna, VA
  • NPI 1801238316

  DC

  Medicare reassignment NPD Authorized official
• Kimberly Johnson, M.P.T.

  • Physical Therapist
  • Vienna, VA
  • NPI 1295110773

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1700503067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221240173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW STE 100A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804450",
            "telephone_number": "703-679-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DJOUBRAILOV",
        "authorized_official_first_name": "PETYA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-679-8078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenifer Deleon
• Edward B Delgado, DDS
• Melissa A Delgado, MD
• Richard Dellork, DDS
• Jane K. Delpopolo, LPC
• Haiqin Deng
• Denise T. Nguyen, DDS, PC
• Berta I Denmark, RN
• Kemora Ashleigh Dent
• Dental Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.