JACQUELINE W GARRISON (DPT) – Physical Therapist, NPI 1093239899

JACQUELINE W GARRISON (DPT) is a healthcare provider. based in Mc lean, Virginia. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 2305211377 (VA). The NPI Number for JACQUELINE W GARRISON (DPT) is 1093239899

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE W GARRISON (DPT)
NPI
1093239899
Phone
(703) 388-0288
Address
8250 GREENSBORO DR
Enumeration Date
2 August 2017
Last Update Date
15 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033880288
Graduation Year
2017 (9 years ago)
PAC ID
9830462530
Group Practice PAC ID
2860623295
Professional Enrollment ID
I20170831000560
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for JACQUELINE W GARRISON (DPT)

  • 8250 GREENSBORO DR

    MC LEAN, VA 221024902

    Phone: (703) 388-0288

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170831000560IPhysical Therapist In Private PracticeDCTBD
I20170919002577IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860623295View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
-VA
-VA
Physical Therapist In Private PracticeVA
-VA
-MD
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What unique ID ties claims to JACQUELINE W GARRISON (DPT)?
NPI 1093239899 is assigned to JACQUELINE W GARRISON (DPT) under the national enumeration system.
Does this profile mean JACQUELINE W GARRISON (DPT) is currently active?
Yes — JACQUELINE W GARRISON (DPT) appears active in the national provider directory.
What field does JACQUELINE W GARRISON (DPT) work in?
You can think of JACQUELINE W GARRISON (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for JACQUELINE W GARRISON (DPT)?
We surface Mc Lean, Virginia for JACQUELINE W GARRISON (DPT) based on available NPPES addresses.
How can I contact JACQUELINE W GARRISON (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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