Individual provider Active NPI

Theodora Loukopoulos

  • Orthopedic Physical Therapist
  • Fairfax, VA
National Provider Identifier
1902597578
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305216932 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20250225002498 DC Practitioner - Physical Therapist in Private Practice 8527588219 Reassigns benefits to 1 organization

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
Excel Rehabilitation PLLCGroup PAC ID 1355243734, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation, PLLC Single Specialty CurrentSince Feb 18, 2025 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

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.

Verify at the official NPI Registry.