Unknown Individual – Physical Therapist, NPI 1447210893

Unknown Individual is a healthcare provider. based in Mclean, Virginia. specializing in Physical Therapist. They hold a License No. 2305003691 (VA). The NPI Number for Unknown Individual is 1447210893

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447210893
Phone
(703) 556-4424
Address
6845 ELM ST
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7032372000
Graduation Year
1989 (37 years ago)
PAC ID
1850356049
Group Practice PAC ID
4587646393
Professional Enrollment ID
I20041209000036
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

  • 6845, Elm Street, West McLean, Bryn Mawr, McLean, Fairfax (city), Virginia, 22101, United States

    SUITE 110

    MCLEAN, VA 22101

    Phone: (703) 556-4424

    Fax: (703) 556-4435

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,18367$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes85733$0
97150Therapy procedure in a group setting56253$0
97140Therapy procedure using manual technique, each 15 minutes55329$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8646$0
View full utilization report →

Insurance plans in this area (ZIP 22101)

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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 evaluation134131

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
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeMD
-VA
-VA
Physical Therapist In Private PracticePA
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 1447210893 — 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 Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Mclean?
Unknown Individual currently maps to Mclean, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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