River5 Therapy 1, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RIVER5 THERAPY 1, LLC

Practice address

10461 White Granite Dr Ste 106
Oakton, VA 22124-2762

Phone

(703) 559-6823

Fax

(888) 546-3565

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Gaurave Batta

Title

Owner

Phone

(703) 867-1601

Specialties & licenses 1

Addresses

Other names 2

• FYZICAL Therapy & Balance Centers Doing business as
• Fyzical Oakton Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Dunn, DPT

  • Physical Therapist
  • Oakton, VA
  • NPI 1376237800

  DC

  Medicare reassignment Care Compare group NPD
• Alison Izzo, DPT

  • Physical Therapist
  • Oakton, VA
  • NPI 1962268789

  DC

  Medicare reassignment Care Compare group NPD
• Daniel Elias Medina, DPT

  • Physical Therapist
  • Oakton, VA
  • NPI 1487426276

  DC

  Medicare reassignment Care Compare group NPD
• Mona Mistry, PT

  • Physical Therapist
  • Reston, VA
  • NPI 1861621450

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1902599558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 WHITE GRANITE DR STE 106",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242762",
            "telephone_number": "703-559-6823",
            "fax_number": "888-546-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 WHITE GRANITE DR STE 106",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242762",
            "telephone_number": "703-559-6823",
            "fax_number": "888-546-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER5 THERAPY 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BATTA",
        "authorized_official_first_name": "GAURAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-867-1601"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Oakton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Perez, DPT, PT
• John I. Pi, MD
• Pivotal Behavior Inc.
• Michelle Pryslak, MPH, RD
• John Charles Reed, M.D.
• Jean Roark, PTA
• Susan B. Robertson
• Joan Rockwell, LCSW
• Rony Alejandro Roman, DPT, PT
• Madeleine Rosenstein, PA-C

• Physical Therapy Clinic/Center in Oakton, VA
• Providers in Oakton, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.