Individual provider Active NPI

Trisha Kathryn Fleshman, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1881831352
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11695 Issued in NC
Practice address
4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917
Phone
(703) 865-7680
Fax
(703) 865-7683
NPI assigned
Jan 20, 2009
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205795 VA
Physical Therapist 225100000X P11695 NC Primary

Addresses

Primary practice location

4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917

Mailing address

4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917
Phone (703) 865-7680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180410001215 VA Practitioner - Physical Therapist in Private Practice 5698968451 Reassigns benefits to 1 organization
I20251008000075 NC Practitioner - Physical Therapist in Private Practice 5698968451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rehabilitation IncGroup PAC ID 9537071535, 17 clinicians

Practice addresses (Care Compare)

5585 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 261-1556

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

State licenses

LicenseStateTypeSpecialty
P11695NCMDPhysical Therapist
2305205795VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehabilitation Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Coastal Rehabilitation Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Coastal Rehabilitation Inc Physical Therapist Past Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114

5585 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-1556

503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1881831352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "SUITE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-865-7680",
            "fax_number": "703-865-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "SUITE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-865-7680",
            "fax_number": "703-865-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESHMAN",
        "first_name": "TRISHA",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205795",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.