Active NPI
Theodora Loukopoulos
- Orthopedic Physical Therapist
- Fairfax, VA
National Provider Identifier
1902597578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305216932
- Practice address
- 10521 Rosehaven St Ste Ll150
Fairfax, VA 22030-2889 - Phone
- (703) 383-1616
- Fax
- (703) 383-1166
- NPI assigned
- May 16, 2023
- Last updated
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305216932 | VA | Primary |
Addresses
Primary practice location
10521 Rosehaven St Ste Ll150
Fairfax, VA 22030-2889
Mailing address
10521 Rosehaven St Ste Ll150
Fairfax, VA 22030-2889
Phone (703) 383-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10521 Rosehaven St
Suite Ll150
Fairfax, VA 22030-2889
Phone (703) 383-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation, PLLC | Single Specialty | Current | Accepting new patients |
Locations
10521 Rosehaven St
Ste LL150
Fairfax, VA 22030
Phone (703) 383-1616
Organizations & group practices 1
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": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1902597578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10521 ROSEHAVEN ST STE LL150",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302889",
"telephone_number": "703-383-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 ROSEHAVEN ST STE LL150",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302889",
"telephone_number": "703-383-1616",
"fax_number": "703-383-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUKOPOULOS",
"first_name": "THEODORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305216932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Loudoun Medical Group, PC (The Eye Center)
- Loudoun Medical Group, PC (Physicians Premiere Weight and Wellness Center)
- Cybil S. Louie, LMT
- Otto Louis-Jacques, M.D.
- May-Lissa Louis
- Love Family Practice
- Love to Care Limited Liability Company
- Juliann Lowe
- Supna Bhagat Lowery, M.D.
- Maureen B Lozzi, R.N., C.A.N.P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.