Unknown Individual – Physical Therapist, NPI 1295972529

Unknown Individual is a healthcare provider. based in Falls church, Virginia. specializing in Physical Therapist. They hold a License No. 2305205784 (VA). The NPI Number for Unknown Individual is 1295972529

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295972529
Phone
(703) 237-2000
Address
80 E JEFFERSON ST STE 200
Deactivation Date
20 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7032372000
Graduation Year
2010 (16 years ago)
PAC ID
2062605769
Group Practice PAC ID
4587646393
Professional Enrollment ID
I20101026000153
Data current as of
20 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

  • East Jefferson Street, Hillwood, Falls Church, Fairfax County, Virginia, 22046, United States

    FALLS CHURCH, VA 220463567

    Phone: (703) 237-2000

    Fax: (703) 237-2155

    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.

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 22046)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97001Physical therapy evaluation7971
PHYSICAL THERAPYVA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes50959

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: 4587646393View full group profile
NameSpecialtyState
MRS. ANNA FORTIN (DPT COMT CKTP)
Physical Therapist In Private PracticeVA
MRS. LYNN K BERNSTEIN (MSPT, CHT)
Physical Therapist In Private PracticeVA
MISS ASHLEE KIM (DPT)
-VA
MATTHEW GLENN STITZLEIN (DPT, PT)
Physical Therapist In Private PracticeMD
MISS SARA ELIZABETH BLACK (DPT NASM CPT)
-VA
Unknown Individual
-VA
CHRISTOPHER AUSTIN CARMICHAEL (DPT)
Physical Therapist In Private PracticePA
MR. MICHAEL MASTROSTEFANO (PT, OCS, MTC)
Physical Therapist In Private PracticeVA
TAYLOR BUTTERBAUGH (PT, DPT)
Physical Therapist In Private PracticeVA
ELIZABETH UECKER (PT DPT)
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 1295972529 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Falls Church?
Public fields place Unknown Individual around Falls Church, Virginia. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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