Active NPI
Valerie Washington Gibson, PT
- Neurology Physical Therapist
- Annandale, VA
National Provider Identifier
1831297936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 0105002123
- Practice address
- 3301 Woodburn Rd Ste 302
Annandale, VA 22003-1229 - Phone
- (703) 749-0223
- Fax
- (403) 016-3865
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 0105002123 | VA | Primary |
Addresses
Primary practice location
3301 Woodburn Rd Ste 302
Annandale, VA 22003-1229
Mailing address
3301 Woodburn Rd Ste 302
Annandale, VA 22003-1229
Phone (703) 749-0223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040202000898 | DC | Practitioner - Physical Therapist in Private Practice | 0345143624 |
Reassigns benefits to 1 organization Practice locations: Vienna, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3301 Woodburn Rd
Suite 302
Annandale, VA 22003-1229
Phone (703) 749-0223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105002123 | VA | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy and Rehabilitation Center, LLC | Neurology | Current | Accepting new patients |
Locations
3301 Woodburn Rd
Ste 302
Annandale, VA 22003
Phone (703) 749-0223
8230 Old Courthouse Rd
Ste 350
Vienna, VA 22182
Phone (703) 749-0223
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.
-
- Physical Therapist
- Annandale, VA
- NPI 1558908442
DC, Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1831297936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD STE 302",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-749-0223",
"fax_number": "540-301-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD STE 302",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-749-0223",
"fax_number": "403-016-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "VALERIE",
"middle_name": "WASHINGTON",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "VA",
"license": "0105002123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.