Ryan Mills Coffelt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305218022 Issued in VA

Practice address

8500 Executive Park Ave Ste 100
Fairfax, VA 22031-2228

Phone

(703) 698-7888

NPI assigned

Sep 9, 2026

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Resurgent Sports Rehab LLC

  • Physical Therapy Clinic/Center
  • Fairfax, VA
  • NPI 1932753811

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1922918135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 STONERIDGE RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012876",
            "telephone_number": "540-313-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312228",
            "telephone_number": "703-698-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFELT",
        "first_name": "RYAN",
        "middle_name": "MILLS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305218022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Irvin Coble, LPC
• Jessica Marie Cochran, PA
• Kara S Cochran, PA
• Costanza Cocilovo, MD
• Julia Virginia Cockrill, LMFT
• Philip Hyland Coffin, MD
• Cognitive Consults and Technology LLC
• Cognitive Solutions LLC
• Adam Louis Cohen, MD
• Amy Rose Cohen, OTR/L

• Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.