Raul B. Aguilar, PT, DPT
Individual provider Active NPI Physical Therapist · Manassas, VA
NPI 1861542706 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1861542706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305005258 (VA)
- Practice address
- 7960 Donegan Dr
Suite 233
Manassas, VA 20109-8236 - Phone
- (703) 366-3199
- Fax
- (703) 366-3644
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7960 Donegan Dr
Suite 233
Manassas, VA 20109-8236
Phone (703) 366-3199
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120514000287 | VA | Practitioner - Physical Therapist in Private Practice | 6204099161 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305005258 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Health and Wellness Center, P.C. | Physical Therapist | Current |
Accepting new patients |
Locations
7960 Donegan Dr
Ste 233
Manassas, VA 20109
Phone (703) 366-3199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005258 | VA | Yes |
Addresses
Primary practice location
7960 Donegan Dr
Suite 233
Manassas, VA 20109-8236
Mailing address
7960 Donegan Dr
Suite 233
Manassas, VA 20109-8236
Phone (703) 366-3199
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All providers in Manassas, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.