Individual provider Active NPI

Tanaz Falahatpour

  • Physical Therapist
  • South Riding, VA
National Provider Identifier
1841075496
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216070 Issued in VA
Practice address
25370 Eastern Marketplace PLZ Ste 120
South Riding, VA 20152-1428
Phone
(571) 339-3150
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 2305216070 VA Primary

Addresses

Primary practice location

25370 Eastern Marketplace PLZ Ste 120
South Riding, VA 20152-1428

Mailing address

42435 Iron Bit PL
Chantilly, VA 20152-6405
Phone (703) 470-7146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231102002093 DC Practitioner - Physical Therapist in Private Practice 8628424298 Reassigns benefits to 1 organization
I20240105003402 VA Practitioner - Physical Therapist in Private Practice 8628424298 Reassigns benefits to 2 organizations

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
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

25370 Eastern Marketplace PLZ
Suite 120
Chantilly, VA 20152-1428
Phone (571) 339-3150

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 4, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Sep 5, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

25370 Eastern Marketplace Plz
Ste 120
South Riding, VA 20152
Phone (571) 339-3150

Organizations & group practices 4

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1841075496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42435 IRON BIT PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526405",
            "telephone_number": "703-470-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25370 EASTERN MARKETPLACE PLZ STE 120",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201521428",
            "telephone_number": "571-339-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALAHATPOUR",
        "first_name": "TANAZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.