Active NPI
Oluchi Ike
- Physical Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29448
- Practice address
- 2807 King St
Alexandria, VA 22302-4012 - Phone
- (703) 215-9110
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29448 | MD | Primary |
| Physical Therapist | 225100000X | CP051523T | TX |
Addresses
Primary practice location
2807 King St
Alexandria, VA 22302-4012
Mailing address
721 Coffren PL
Upper Marlboro, MD 20774-8561
Phone (240) 274-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
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
Practice addresses (Care Compare)
30 Catoctin Cir SE
Suite 112
Leesburg, VA 20175-3614
Phone (571) 918-0197
5115 Leesburg Pike
Falls Church, VA 22041-3207
Phone (703) 824-0701
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.48 of 100
- Quality
- 86.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP051523T | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Bal Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500
43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920
12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033
5115 Leesburg Pike
Falls Church, VA 22041
Phone (703) 253-0022
30 Catoctin Cir SE
Ste 112
Leesburg, VA 20175
Phone (571) 918-0197
Organizations & group practices 3
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.
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764979200000",
"number": "1801580923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 COFFREN PL",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748561",
"telephone_number": "240-274-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 KING ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223024012",
"telephone_number": "703-215-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKE",
"first_name": "OLUCHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2025-12-06",
"certification_date": "2025-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29448",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP051523T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.