ELISSA H FEDEROVICH (PT, NCS) – Neurology Physical Therapist, NPI 1417126020

ELISSA H FEDEROVICH (PT, NCS) is a healthcare provider. based in Annandale, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, NCS. They hold a License No. 2305202026 (VA). The NPI Number for ELISSA H FEDEROVICH (PT, NCS) is 1417126020

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ELISSA H FEDEROVICH (PT, NCS)
NPI
1417126020
Phone
(703) 642-9176
Address
3918 TERRACE DR
Enumeration Date
27 February 2008
Last Update Date
22 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035331515
Graduation Year
1999 (27 years ago)
PAC ID
8022197961
Group Practice PAC ID
4688683592
Professional Enrollment ID
I20080505000324
Address ID
VA220432301FA7115XPIKE308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

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Provider Addresses for ELISSA H FEDEROVICH (PT, NCS)

  • 3918, Terrace Drive, Columbia Pines, Annandale, Fairfax, Virginia, 22003, United States

    ANNANDALE, VA 220031853

    Phone: (703) 642-9176

    Type: Mailing

  • Landmark Professional Building, 5249, Duke Street, Patrick Henry, Seminary Valley, Alexandria, Virginia, 22304, United States

    STE 203

    ALEXANDRIA, VA 223042926

    Phone: (703) 751-1733

    Fax: (703) 370-7209

    Type: Location

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: 2008-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080505000324IPhysical Therapist In Private PracticeDCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,00938$0
97530Therapy procedure using functional activities72336$0
97164Re-evaluation for physical therapy, typically 20 minutes4318$0
97161Evaluation for physical therapy, typically 20 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 22003)

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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: 4688683592View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

How is ELISSA H FEDEROVICH (PT, NCS) identified in CMS data?
CMS-hosted NPPES data lists ELISSA H FEDEROVICH (PT, NCS) with NPI 1417126020.
Is ELISSA H FEDEROVICH (PT, NCS) listed as active for patients and plans?
The listing shows ELISSA H FEDEROVICH (PT, NCS) as active in the NPI system.
What is ELISSA H FEDEROVICH (PT, NCS) best known for clinically?
Directory data describes ELISSA H FEDEROVICH (PT, NCS) with Neurology Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for ELISSA H FEDEROVICH (PT, NCS)?
ELISSA H FEDEROVICH (PT, NCS)'s geographic hint is Annandale, Virginia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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