Individual provider Active NPI

Larijean Estrada-Brooks, DPT, CLT

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1790198174
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23055211182 Issued in VA
Practice address
44355 Premier PLZ Ste 120
Ashburn, VA 20147-5050
Phone
(703) 826-5678
Fax
(833) 283-0249
NPI assigned
Jun 3, 2014
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 23055211182 VA Primary

Addresses

Primary practice location

44355 Premier PLZ Ste 120
Ashburn, VA 20147-5050

Mailing address

41994 Cedar Point PL
Aldie, VA 20105-2693
Phone (703) 826-5678

Other names 1

  • Larijean Estrada Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23055211182VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Temple Foundation Inc Physical Therapist CurrentSince Aug 25, 2022 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Aug 28, 2017 Accepting new patients
Loudoun Physical Therapy, Inc. Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
4Life Healthcare LLC CurrentSince Oct 20, 2024 Accepting new patients
Virginia Hospital Center Arlington Health System PastSince Nov 18, 2024 Accepting new patients

Locations

44355 Premier Plz
Ste 120
Ashburn, VA 20147
Phone (703) 495-3123

4299 Chantilly Shopping Center Dr
Ste 104
Chantilly, VA 20151
Phone (703) 844-0690

3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-6859

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

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1790198174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41994 CEDAR POINT PL",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052693",
            "telephone_number": "703-826-5678",
            "fax_number": "833-283-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ STE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475050",
            "telephone_number": "703-826-5678",
            "fax_number": "833-283-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA-BROOKS",
        "first_name": "LARIJEAN",
        "name_prefix": "Dr.",
        "credential": "DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "23055211182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARIJEAN",
            "last_name": "ESTRADA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.