Fairfax Physical Therapy, Incorporated

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305002566 Issued in VA

Legal business name

FAIRFAX PHYSICAL THERAPY, INCORPORATED

Practice address

10525 West Dr
Fairfax, VA 22030-4230

Phone

(703) 934-9411

Fax

(703) 934-9497

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith David Scott, PTNPI 1902968761

Title

Owner

Phone

(703) 934-9411

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith David Scott, PT

  • Orthopedic Physical Therapist
  • Fairfax, VA
  • NPI 1902968761

  DC

  Medicare reassignment NPD Authorized official
• Tracy Kirschner, MS,PT

  • Orthopedic Physical Therapist
  • McLean, VA
  • NPI 1518148766
  NPD (past)
• Jennifer Marie Passino, MSPT

  • Physical Therapist
  • Fairfax, VA
  • NPI 1962467480
  NPD (past)
• Sydney Sawyer

  • Physical Therapist
  • Burke, VA
  • NPI 1134239569
  NPD (past)
• Viral Thakker, PT, DPT

  • Physical Therapist
  • Broadlands, VA
  • NPI 1417209115
  NPD (past)
• Patrice Marie Winter, PT

  • Physical Therapist
  • Fairfax, VA
  • NPI 1417037367
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871716563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 WEST DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304230",
            "telephone_number": "703-934-9411",
            "fax_number": "703-934-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 WEST DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304230",
            "telephone_number": "703-934-9411",
            "fax_number": "703-934-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PHYSICAL THERAPY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-934-9411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305002566",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Oriental Acupuncture
• Fairfax Orthodontic Associates, PLLC
• Fairfax Pediatric Therapy
• Fairfax Periodontal and Implant Center, PLLC
• Fairfax Pet Imaging Center, LLC
• Fairfax Place Therapy
• Fairfax Pulmonary & Critical Care Group LLC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC

• Orthopedic Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.