NPIMap

Organization Active NPI

Excel Rehabilitation, PLLC

  • Specialist
  • Fairfax, VA
National Provider Identifier
1922091032
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EXCEL REHABILITATION, PLLC
Practice address
10521 Rosehaven St Ste Ll150
Fairfax, VA 22030-2889
Phone
(703) 383-1616
Fax
(703) 383-1166
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Mr. Duncan W Gerhard, PT, DSC, MSNPI 1942380332
Title
Clinic Director
Phone
(703) 383-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 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, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040126000260 DC Part B Supplier - Clinic/Group Practice 1355243734 Receives reassigned benefits from 9 practitioners
Practice locations: Aldie, VA; Fairfax, VA
O20170807000005 VA Part B Supplier - Clinic/Group Practice 1355243734 Receives reassigned benefits from 11 practitioners
Practice locations: Aldie, VA

National Provider Directory

National Provider Directory

Locations

24585 Stone Carver Dr
Ste 215
Aldie, VA 20105

10521 Rosehaven St
Ste LL150
Fairfax, VA 22030
Phone (703) 383-1616

9860 Fairfax Blvd
Ste 1
Fairfax, VA 22030
Phone (703) 383-1616

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1922091032",
    "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",
            "fax_number": "703-383-1166"
        },
        {
            "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": {
        "organization_name": "EXCEL REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "GERHARD",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "703-383-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DSC, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Mar 13, 2025; 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.