Individual provider Active NPI

Brian Boston, PT, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1700686268
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216148 Issued in VA
Practice address
5001 Langston Blvd Ste 102a
Arlington, VA 22207-2538
Phone
(571) 970-6068
NPI assigned
Mar 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216148 VA Primary

Addresses

Primary practice location

5001 Langston Blvd Ste 102a
Arlington, VA 22207-2538

Mailing address

2536B Fairfax Dr
Arlington, VA 22201-2865
Phone (703) 351-7962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326001529 DC Practitioner - Physical Therapist in Private Practice 1153844527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bull Dawg Athletic Training, LLCGroup PAC ID 9931378676, 4 clinicians

Practice addresses (Care Compare)

5001 -A Langston Blvd
Suite 102
Arlington, VA 22207-2513
Phone (571) 970-6068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bull Dawg Athletic Training, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

5001 Langston Blvd
Ste 102
Arlington, VA 22207
Phone (571) 970-6068

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1700686268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536B FAIRFAX DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012865",
            "telephone_number": "703-351-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 LANGSTON BLVD STE 102A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072538",
            "telephone_number": "571-970-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "BRIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.