Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1235298464

Unknown Individual is a healthcare provider. based in Annandale, Virginia. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 2305 204847 (VA). The NPI Number for Unknown Individual is 1235298464

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235298464
Phone
(703) 354-1230
Address
7023 LITTLE RIVER TPKE
Deactivation Date
9 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033541230
Graduation Year
2000 (26 years ago)
PAC ID
5597943605
Group Practice PAC ID
5799747721
Professional Enrollment ID
I20110620000520
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7023, Little River Turnpike, Koreatown, Annandale, Fairfax County, Virginia, 22003, United States

    SUITE #400

    ANNANDALE, VA 220035939

    Phone: (703) 354-1230

    Fax: (703) 354-5691

    Type: Location

  • 9538, Blake Lane, Fairlee, Oakton, Fairfax County, Virginia, 22031, United States

    FAIRFAX, VA 220311107

    Phone: (571) 236-6850

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 22003)

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Provider's Procedures

Unknown Individual performs procedures in Physical Medicine & Rehabilitation Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23959
PHYSICAL THERAPYVA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes55973

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: 5799747721View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1235298464 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Annandale, Virginia as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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