Active NPI
Hunter Daniel Mathias, DPT, PT, ATC, AEMT
- Physical Therapist
- Herndon, VA
National Provider Identifier
1891160735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305213021
- Practice address
- 13039 Worldgate Dr
Herndon, VA 20170-4374 - Phone
- (703) 689-3164
- Fax
- (703) 689-3167
- NPI assigned
- Dec 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 2305213021 | VA | Primary |
Addresses
Primary practice location
13039 Worldgate Dr
Herndon, VA 20170-4374
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 689-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
| Oracle Heart & Vascular, Inc. | Past | Accepting new patients |
Locations
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
4290 Ivy Rd
Ste 120
Charlottesville, VA 22903
Phone (434) 327-5244
70 Jefferson Ct
Ste 102
Zion Crossroads, VA 22942
Phone (540) 832-3061
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFHEAD
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.
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Interventional Cardiology Physician
- Fredericksburg, VA
- NPI 1972924520
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1891160735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "703-689-3164",
"fax_number": "703-689-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13039 WORLDGATE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704374",
"telephone_number": "703-689-3164",
"fax_number": "703-689-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "HUNTER",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DPT, PT, ATC, AEMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-03",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305213021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.