Individual provider Active NPI

Erika Bennett

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1912628066
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215309 Issued in VA
Practice address
9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone
(703) 277-6611
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305215309 VA Primary

Addresses

Primary practice location

9229 Arlington Blvd
Fairfax, VA 22031-2504

Mailing address

1855 Saint Francis St Apt 709
Reston, VA 20190-6250
Phone (571) 271-8155

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

State licenses

LicenseStateTypeSpecialty
2305215309VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physical Therapy, Inc Single Specialty CurrentSince Feb 26, 2024 Accepting new patients
The Temple Foundation Inc Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients

Locations

4299 Chantilly Shopping Center Dr
Ste 104
Chantilly, VA 20151
Phone (703) 844-0690

3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-8599

7051 Heathcote Village Way
Ste 260
Gainesville, VA 20155
Phone (571) 755-1080

8551 Rixlew Ln
Ste 340
Manassas, VA 20109
Phone (703) 368-7343

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1912628066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAINT FRANCIS ST APT 709",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906250",
            "telephone_number": "571-271-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 ARLINGTON BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312504",
            "telephone_number": "703-277-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215309",
            "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 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.